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4
(If you’re acting on behalf of someone else only) Name of person you’re
acting on behalf of
We’ll need to know you’re allowed to act on their behalf. You can provide a
signed document from them, or get the person you’re acting on behalf of to call
us
I/person making this complaint was 16 or under
Tick if the person making the complaint was aged 16 or under at the time they
made their request or complaint to the organization. We use this to understand
if the complaint relates to the rights of children
Email
The address you want us to use for correspondence about this complaint
Address, including postcode
Phone
Optional. Useful if we need to contact you about your complaint
Declaration
• I understand that the ICO may need to share the information I have
provided so they can look into my complaint, and have indicated any
information or documents that I don’t want the ICO to share.
• I understand the ICO will keep the information relating to my complaint,
including any documents for two years, or longer if necessary.
• If I am making a complaint on someone else’s behalf, I confirm that I am
allowed to act on their behalf.
I agree
Sending your form to us