The right to data portability

You have the right to request to move, duplicate or transfer your personal data where you have provided that data directly to us.

To make a request to Plus Dane for details of the personal data we may hold or to exercise any of the rights detailed above please complete the relevant form below:

Please tick as appropriate

I am the data subject; I am requesting access to my personal information

I am not the data subject; I am requesting information on their behalf

Title (Mr/Mrs/Miss/Ms/other)

First Name *

Surname *

Date of Birth *

Current Address *

Postcode *

Contact Telephone Number

Email Address *

Preferred Contact Method *

Phone

Letter

Text

Previous address (s)

Relationship to the data subject

Title (Mr/Mrs/Miss/Ms/other)

First Name

Surname

Date of Birth

Address *

Postcode

Contact Telephone Number

Email Address

Preferred Contact Method

Phone

Letter

Text

Please use the section to explain your entitlement to receive the Data Subject’s personal information and attach documented evidence to support this when returning your completed form.

You must provide one form of identification from the list below: *

Passport

Driving Licence

Birth Certificate

NHS Medical Card

Please upload your proof of identity here *

Please provide details of the specific scope information that you require, together with any relevant dates: *

Please tick as appropriate: *

I confirm that I am the Data Subject and I wish to receive a copy of my personal information, I have enclosed photocopies of my proof of identity as requested.

I confirm that I am the Data Subject and I give my consent for my representative to receive a copy of my personal records on my behalf.

Please tick if appropriate:

I confirm that I am the Data Subject’s appointed representative and I wish to receive a copy of the Data Subjects personal information, I have enclosed photocopies of the data subject’s identity and address as requested.

Data Consent *

Yes, I give permission to store and process my data

Subject Access Request Form