Children's & Young People's Services

Subject Access Request - Data Protection Act 1998

The purpose of this form is to assist you in making a request for personal information under the Data Protection Act. You do not have to use it, but by providing the details below the Council should have all the information it needs to comply with your request, or be able to contact you if anything further is needed.

Fields marked with * are mandatory and must be completed.

Section 1A: Details of Data Subject

If you are not the data subject yourself and you are applying on behalf of someone else, you will also have to enter your details in Section 1B of the form

*Name of data subject:

*Date of Birth:
/ /

*Address of data subject:

Section 1B: Details of the Person acting on behalf of the Data Subject

Only fill out this section if you are not the data subject yourself and are applying on behalf of somebody else

Name:

Date of Birth:
/ /

Address:

Home Telephone No.:

Mobile Telephone No.:

Email address:

(Your eligibility to request this information will be considered)

Section 2: Further Information

To help us search for your personal information, please provide the following information:

Which part of the Children’s & Young People’s Services hold your record? (if known)

Children's Social Service
or
Education

Proof of identity – for information
The Council reserves the right to request proof of identity. This is to ensure that the person requesting personal information is entitled to receive it.

Fees
A fee of £10 can be charged for this information.

*To assist us in providing you with the information you are seeking, please provide us with as much detail as possible e.g. dates, relevant addresses, former names: