Data portability request form

Please complete this form if you wish to ask us to transmit your personal data to you or another person in electronic form (a 'data portability request'). You do not have to use this form, but it will help us to deal with your request as quickly and effectively as possible if you do.

You can also use this form if you are making a data portability request on behalf of someone else. In that case, we will need you to confirm you have that person's authority to ask for access to their data.

Please note your right to make a data portability request only applies to personal data you have provided to us that we process:

based on your consent or because we need to process it because of a contract with you, and
using automated means, which means the right does not apply to personal data we hold in paper form

If you have any questions about this form or your request, please contact dpo@conviction.org.uk to discuss it further.

About you

Please provide the following information. If you have a matter number or other reference number, please provide it.

First Name *

Last Name *

Address *

Postal code *

Telephone number *

Email address *

Matter Number (If you know it) Your matter number will be 13 characters and look like C23AIS00377NM.

Identity Information

For security reasons, we cannot respond to a request unless we have confirmed your identity.

You must upload or send us a minimum of two pieces of official identity documentation with your application which between them provides enough information to prove your name, date of birth, current address and signature.

Examples of this are:

Document 1

current, valid photo-card driving licence
birth/adoption certificate
passport

Please note: we are unable to accept paper counterpart driving licences issued after 1998 in line with changes introduced by the DVLA on 8 June 2015 as they no longer have any legal status. We are also unable to accept expired photo-card driving licences.

Document 2

utility bill (for example a gas, electricity or telephone bill )
official document (for example correspondence from a bank or building society)

The above documents should be no more than 3 months old.

Document 1 Proof of ID

Document 2 Proof of Address

Whose personal data are you requesting?

Please provide the following information. If you are making this request on behalf of someone else, we will need this information before we can supply you with the data you are asking for.

Are you requesting access to your own personal data? *

Making this request on my own behalf - you can skip the rest of this section and move to the next section.

Making this request for someone else - please complete the rest of this section and then move on to the next section.

First Name

Last Name

Address

Postal code

Email address

Identity Information

For security reasons, we cannot respond to your request until we also receive satisfactory confirmation of the identity of the person on whose behalf you are making this request.

You must upload or send us a minimum of two pieces of official identity documentation which between them provides enough information to prove their name, date of birth, current address and signature.

Examples of this are:

Document 1

current, valid photo-card driving licence
birth/adoption certificate
passport

utility bill (for example a gas, electricity or telephone bill )
official document (for example correspondence from a bank or building society)

The above documents should be no more than 3 months old.

Document 1 Proof of ID

Document 2 Proof of Address

Form of Authority Please provide a copy of your legal authority to make this request. This might be a signed letter of authority from the person on whose behalf you are making this request, a power of attorney, or confirmation that you are their legal representative.

What data are you requesting?

Your rights to make a data portability request and other information are set out in our Privacy policy, available on our website. Please describe what personal data and other information your request relates to, in particular, if you are asking for specific documents or information to be transferred.

Description of the personal data and information requested including details of any specific documents or information you are asking for (where relevant) *

Please give as much detail as possible about where the data might be located and any other relevant information. You do not have to provide this information, but doing so will help us to deal with your request as quickly and effectively as possible.

Location of data, eg any particular departments or parts of the organisation you have dealt with (if known)

Relevant time periods, eg: —when we are likely to have obtained your data (if known) —if you would like us to provide data covering a particular time period, please let us know

Dates of any particular correspondence, meetings or telephone calls (if known)

The name(s) of people you have dealt with within our organisation (if known)

Any other relevant information you can think of that might help us respond to your request

Who do you want the data sent to?

Please provide the following information about where you want us to send the data to.

Do you want us to send the data to you? *

Yes

If you want us to send the data to you, we will send it to the contact email address you provided at section 1 above. If you want us to send the data to someone else, please provide their details below

First Name

Last Name

Address

Postal code

Telephone number

Email address

Signature

Please check the information you have provided and sign below.

Signed *

Signature

Date *

As you are making this request online, we will provide the information to you in an electronic format unless you ask us not to. If you wish to receive your information in a different format, eg hard copy please let us know in the box below.

Conviction