Data rectification request form

Please complete this form if you wish to ask us to correct or complete inaccurate personal data about you (a data rectification 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 rectification request on behalf of someone else. In that case, we will need you to confirm you have that person's authority to make the request for them.

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 does your request relate to?

Please provide the following information. If you are making this request on behalf of someone else, we will need this information before we can handle your request.

Do you want us to correct or complete 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.

If you are asking us to correct or complete someone else's personal data, please provide the following information about the person on whose behalf you are making this request

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 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 are you asking us to do?

Your right to request rectification of your personal data and other information is set out in our Privacy policy, available on our website. Please describe what you would like us to correct or complete in your personal data.

What changes would you like us to make to your personal data? Please include details of any specific data we hold or processing activities we carry out (where relevant) *

Please complete the table below with as much additional information as you can about where the data you would like us to correct or complete 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, eg how the inaccuracy came to light

Signature

Please check the information you have provided and sign below.

Signed *

Signature

Date *

Conviction