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Subject Access Request - Template, Sample Form Online

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Dear Sir/Madam,

RE: SUBJECT ACCESS REQUEST


Requester (data subject) information

(a). Full name

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(b). Date of birth

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(c). Address

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(d). Email address

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(e). Proof of identity

Please find attached a copy of my proof of identification.


Requested information

In accordance with my right of access under data protection law, I request the below information.

(a) Copies of my personal data

I request full copies of all personal data relating to me which is held by ________.

I would like to receive a hard (paper) copy of the requested information.

(b). Purpose of the processing

Please confirm the purpose (or purposes) for which my personal data was collected by ________ in the first instance and the purpose (or purposes) for which it has been used by ________ to date.

(c). Source of the data

Please confirm which sources my personal data is collected from.

(d). Recipients of the data

Please confirm the recipients or categories of recipients to whom my personal data has been or will be disclosed, including any recipients in third countries or international organisations.

(e). Storage of the data

Please confirm the retention periods for the storage of my personal data. If you are unable to confirm a specific retention period, please confirm what criteria will be used to determine this.


Responding to my request

Should you require any further information from me in order to process my request, please do not hesitate to contact me on the details which I have provided above.

I would be grateful for your assistance in processing my request within the required one-month period of your receipt.



Yours faithfully,


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Fields you complete are inserted into the document live. This template is general guidance only - not legal advice.