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Request to restrict processing form

This form can be used to request that we restrict processing of your personal information. Your request will be processed within 30 calendar days upon receipt of a completed form and proof of identity. There is no charge for this request.

Please note that completion of this form is not compulsory, however it assists us fulfil your request by ensuring that all required information is provided.

There may be instances where it is not possible for us to restrict processing of your information, such as to comply with a legal obligation. Where this is the case, we will contact you and explain fully the reasons.

If you would like to receive this form by post, or if you would like us to email you a copy of this form, please contact us by emailing dataprotection@forgetmenotchild.co.uk or by calling 01484 411040.

Identity check: In order to prevent fraudulent applications, we request that you provide us with evidence of your identity, in the form of a birth certificate, passport or driving licence, or an official letter addressed to you (e.g. bank statement, recent utilities bill or council tax bill).  If you have changed your name, relevant documents evidencing the change should be supplied. The information you supply will only be used for the purposes of fulfilling this request.

Section one – Data subject

If you are applying on your own behalf (the data subject), please complete your details below. If you are applying on behalf of someone else, please fill in the details of the data subject below and not your own:
Title

Name
Address
This may help us locate your data
Date of birth
Identity proof provided
Max. file size: 5 MB.

Section two – Authorised person (if applicable)

If you are applying on behalf of someone else (i.e. the data subject), please provide your details below. Otherwise, skip to Section 3. Please note that if you are not the data subject, but an agent appointed on their behalf, you will need to provide evidence of your identity – as well as that of the data subject and proof of your right to act on their behalf.
Title

Name
Address
Date of birth
Identity proof provided
Max. file size: 5 MB.
Provided as proof of legal authorisation to act on behalf of the data subject:

Max. file size: 5 MB.

Section three – Further information

Please confirm whether you wish for us to stop processing all of your personal information, or just certain information. For example, you may wish for us only to restrict processing of your donation history.

Section four – Data subject declaration

Signature
Name
Date

Section five – Authorised person declaration (if applicable)

Signature
Name
Date

Section six – Communicating with you

How would you like to receive confirmation and/or further information on the request?
Warning: a person who unlawfully obtains or attempts to obtain data is guilty of a criminal offence and is liable to prosecution. * Please be aware that if you wish us to post confirmation to you, we will take every care to ensure that it is addressed correctly. However, we cannot be held liable if the information is lost in the post or incorrectly delivered or opened by someone else in your household.