Data Subject Rights Request form

You have a number of rights regarding your personal information

These include the rights to:

confirmation that we are processing your personal data
receive copies of your personal data
have inaccurate or incomplete information corrected or supplemented
erase personal information
limit how we use your data
object to use of your data, e.g. for marketing purposes
transfer information given to us from one organisation to another
receive information about how we use your data. This typically occurs by privacy notices provided at the point at which we collect your personal data.

If you would like to submit a data access request please complete and return the form, with proof of identity (detailed overleaf) to the data protection officer at:

DataProtect@futuresadvice.org

You can also send your request by post to:

Data Protection Officer
Futures Nottingham Centre
57 Maid Marian Way
Nottingham
NG1 6GE

Futures endeavours to respond to all requests within one month from the date that the request and proof of identity is received.

If you have accessed one of our the services on behalf of the local authority, DWP or Department of Education we may need to refer your request onto them as the data controller, if this is the case you will be advised.

If you need any further advice, please email the data protection officer at DataProtect@futuresadvice.org

Are you completing this form for yourself or on behalf of someone else?*

1. Data Subject's Details: (also complete section 2 if you are acting on behalf of someone else):

Surname*

Forename(s) *

Any other names you have been known by

Current address*

Date of birth*

Telephone (home)*

Mobile*

Email address*

Details of identification provided to confirm name of data subject * One form of identification is required from the following list. Further information may be required if there has been a change of name. Please select an option from the list.

Please upload an image or screenshot of the relevant document. If you are unable to do this, please post a copy of your identification document to the Data Protection Officer at this address

2. Details of person and organisation acting on the data subject’s behalf (if this request is not being made by the Data Subject):

Futures recognises that sometimes customers agree to a third party, such as a solicitor or welfare rights organisation, acting on their behalf.

To protect the privacy of the customer we must be sure that they agree to any requests made by third parties.

Surname

Forename(s)

Organisation

Current address

Date of birth

Telephone (home)

Mobile

Email address

Are you acting on behalf of the data subject with their written or other legal authority?

Please attach proof that you are legally authorised to obtain this information. You can upload an image or screenshot of the relevant document. If you are unable to do this, please post a copy of your identification document to the Data Protection Officer at this address

If answering 'yes' above, please state your relationship with the data subject (e.g. solicitor, parent, legal guardian)

3. Please describe the nature of your request and action you require us to take.

Please provide specific information about the service you received from Futures. *

Please provide the name/s of individuals that you have received services from at Futures. For example, this could be an Adviser or Coach. *

The request(s) I am making are:*

To know what personal data Futures has on me

To receive copies of my personal data

To erase my personal data

To stop unwanted contact

To stop the use of my data in marketing materials

To transfer my personal information from Futures to another organisation or individual

Other

Please tell us clearly what you would like us to do *

4. Declarations

I, the person identified in (1) above, hereby request that Futures complies with the request about me identified above. *

I, the person identified in (2) above, hereby request that Futures complies with the request from the data subject identified in (1) above.