Wokingham Borough Council Data Protection Act - request personal information

Your details:

Name: »

Address: »

Postcode: »

Email:

Phone number: »

Date of birth: »

If you've lived at the above address for less than 12 months please tell us your previous address:

Information requested under Subject Access Request:

I would like my Data Subject Access Request to provide information related to or held by the following services:

Please state 'Other'

Additional information

Please provide any additional information that my help us find your personal data e.g. reference numbers or previous names:

Proof of address and identity:
To help establish your identity, you must bring two original documents to the Council Offices for verification. One to confirm your name (full driving licence, passport, birth certificate, medical card) and one to confirm both your name and address (full driving licence, bank/credit card statement, utility bill, child benefit/pension book or other equivalent document showing both you name and address).

Subject Access Requests from Children

I am the parent of a child under 12 years old who is submitting a request

Yes and have submitted this form on their behalf
No

If yes, you will be required to prove that you are the parent by demonstrating that you are in receipt of child benefit for the child in question.

Subject Access Request - Checklist and declaration »

I confirm that I am the Data Subject and not someone acting on their behalf
I have ticked above the relevant boxes showing the information I require
I will provide the documents required to confirm my name, and my name and address
I am sending a cheque for £10 payable to Wokingham Borough Council for processing this request based on the information provided on this form
I understand the Council may need more information from me in order to find the personal information I have requested

Name: »

Date:

Original documents to prove your name and address, and any payment should be taken to: The Customer Service Team-Data Protection, Governance and Democratic Services, Shute End, Wokingham, Berkshire RG40 1WH.