Subject Access Request

Section 1

Are you the Data Subject? (The individual who is the subject of the required information) Please select the appropriate statement.(Required)

I AM the Data Subject and enclose evidence of my identity e.g. photocopy of driving licence, birth certificate, passport, marriage certificate.

I am NOT the Data Subject, but am acting on their behalf. I have written authority, which I enclose and evidence of their identity e.g. photocopy of driving licence, birth certificate, passport.

I am NOT the Data Subject, but I am acting on their behalf as their parent or legal guardian and enclose evidence of their identity e.g. photocopy of birth certificate, passport.

Section 2: Details of the Data Subject

Full Name(Required)

First Last

Former Names(s)

First Last

Current address (including postcode)(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Former address(s)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Date of Birth(Required)

Contact telephone number (including area code)(Required)

Email address(Required)

Any additional information that may help identify your relationship with [local Citizens Advice] e.g Case Reference Number

Section 3 Details of Representative

(please complete this section if you are NOT the data subject, but are authorised to act on their behalf)

Full Name

First Last

Former Names(s)

First Last

Current address (including postcode)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Former address(s)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Date of Birth

Contact telephone number (including area code)

Email address

Relationship with the data subject that leads you to make this request for information on their behalf

Section 4

In the box below, please describe the information you are requesting, including any relevant dates, names, and the type of documents you would like to be searched.(Required)

Section 5

Please indicate which method you would like to receive the information in the relevant box:(Required)

Electronic copies sent by email

Hard copy sent to postal address

Pick up from local Citizens Advice office (you will be required to provide proof of identification to office staff when collecting your documentation)

Via telephone

If you have any particular access requirements such as a need for large-print, please complete below:

Section 6 - Declaration

Please provide a copy of your ID(Required)

Drop files here or

Max. file size: 512 MB.

For any related enquiries please email servicefeedback@cabb.org.uk.We are registered with the Information Commissioner's Office under Z8511740 and will process your personal data in accordance with the General Data Protection Regulation and Data Protection Act 2018. Please refer to our online Privacy Policy at https://www.cabb.org.uk/privacy-policy/ for more information on how your personal data will be processed and stored.

CAPTCHA