Please complete your personal details as requested. Please tell us if you have been previously known by any other name and if
you have lived at your present address for less than two years, your previous address. If you are requesting historical information
then provide as many details as possible; for example, previous addresses with dates. Use a separate sheet of paper if required.
Proof of name and address is required to ensure we only give information to the correct person. We require two pieces of
documentation, for example, a recent utility bill (less than 12 months old), bank statement, passport or photo ID driving licence.
Between them the ID documents should confirm your name and address. Please provide proof of change of name document(s), if
relevant (photocopies are acceptable).
Under the the Data Protection Act 2018 and GDPR, only the data subject has a right to ask to see their own records. We
normally expect the subject access request to be made by the data subject; all individuals aged 16 or over should make their
own subject access requests if they have the mental capacity to make their own decisions (mental capacity as defined in the
Mental Capacity Act 2005), unless they appoint someone else to make the subject access request on their behalf.
People making subject access requests on behalf of the data subject need to demonstrate that they have the right to do so.
For persons who lack the capacity to manage their affairs, the only person who can make a request for access on that person’s
behalf is an individual acting under an order of the Court of Protection or acting within the terms of a registered Enduring Power
Persons who have capacity can appoint agents to act on their behalf. Agents should always be asked to provide written proof of
their authority (and possibly proof of their identity and relationship to the individual on whose behalf they are acting).
NB - The fact that another family member pays rent, council tax or hands in a benefit claim form on behalf of an elderly or
incapacitated person should not be taken as proof that the family member is empowered to act for the data subject in all other
You should give as much assistance as you can about particular areas to search so that we can give you what you require without
further correspondence. You should also give any relevant reference numbers that might be used for you. These details are
required to assist location of your information so you can be given a copy of everything held about you, as required by the
If you have any questions relating to identification requirements or any other aspect of a subject access request, you can email
the Information Governance Officer at email@example.com or telephone us on 01636 650000.
1. About you
2. Proof of identification…
3. Details of the information you require