Subject Access Request Form

Under the EU General Data Protection Regulation, which comes into force on May 25th 2018, you have the right to enquire of any organization whether they hold your personal data and to see a copy of that information. If you wish to access your data please complete this form. You will need to provide evidence of identity to enable the processing to start. Your request will be processed without undue delay and in any event within one month of receipt of a fully completed form and receipt of all relevant information we require. If the information contains details of another person, we may need to seek their consent before we can provide that information to you. Please note that you may make a request for your data without completing this form; this must be in writing. If you do not use the form, please provide all of the information requested below, as this is needed to process your request and missing information could result in a delay to the start of that process.

Personal Details

If you are the Data Subject: Please complete this form and submit evidence of your identity, e.g. driving licence, birth certificate, a recent utility bill in your name and address (or photocopy) and a stamped addressed envelope for the document to: Donor/Supporter Requests - Fundraising and Resource Director, Hospices of Hope, 11 Hight Street, Otford, KENT, TN14 5PG Employment information - As above All other requests - The Data Protection Officer, Hospices of Hope, 11 High Street, Otford KENT, TN14 5PG If you aren’t the Data Subject: Are you acting on behalf of the Data Subject with their written authority? If so: Please complete and return this form along with the written and signed authority of the data subject to the relevant person above.

Details of the Data Subject (if different to those given in question 1)

Fees

In most instances Hospices of Hope will provide the information free of charge, however, we reserve the right to charge a reasonable fee when a request is manifestly unfounded, excessive or repetitive

Declaration

I certify that the information given on this application form is true and that any attempt to mislead, may result in legal proceedings against me. I understand that it is necessary for the organisation to confirm my/the Data Subject’s identity and it may be necessary to obtain more detailed information in order to locate the correct information. I understand that the response period of 1 calendar month, stipulated in the Act, will not commence until Hospices of Hope is satisfied upon these matters.

Please be aware that Hospices of Hope must receive evidence of identity before we are able to release any information. Information required: Evidence of your identity Evidence of the Data Subject’s Identity (if different from above) Evidence of your relationship with Data Subject (if applicable) Data Subject’s written consent (if applicable)