The information that I have supplied in this application is correct and I am the person to
whom it relates.
I have c
ompleted ALL sections of this form
I enclose TWO identification documents *
These notes are only a guide. The law is set out in the Data Protection Act 2018,
obtainable from The Stationery Office. Further information and advice may be
Information Commissioner, Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF.
Please note that this application for access to information must be made direct to
Dover District Council and NOT to the Information Commissioner.
Official Use Only
Please complete ALL of this Section (refer to ‘CHECK’ box above).
Application checked and legible Date Application Received
Identification Documents checked Fee paid
Method of payment
Details of 2 Documents
Member of staff completing this section
YES / NO
Name Date information given
tion documents incl
ude birth/adoption certificate, driving licence, medical card,
passport or other official document that shows your name and address.
Please post your completed form and documents to:
CCTV, Dover Distric
t Council, Council Offices, White Cliffs Business Park Dover CT16 3PJ
Dover District Council is a data controller under GDPR. Our Privac
y Notice explains how we
use and share personal information and protect your privacy and rights.