Erasure of data request form

Please complete this form if you wish to ask us to delete your personal data (an erasure 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 an erasure request on behalf of someone else. In that case, we will need you to confirm you have that person's authority to ask for deletion of their data.

Please note your right to have your personal data erased only applies in limited circumstances, ie:

we no longer need your personal data for the purpose for which we originally collected/processed it;
we are relying on your consent as the lawful basis for processing your data, and you are withdrawing your consent;
we have a legitimate reason for processing your data, but you object to our processing and our reason does not override your interests;
we are processing the personal data for direct marketing purposes and you object to that processing;
your personal data was unlawfully processed;
we must erase your personal data to comply with a legal obligation; or
we processed the data to offer certain digital services to a child.

Even in the circumstances listed above, we may not be required to erase your personal data if we need to process it, eg:

to comply with a legal obligation;
for certain public interest reasons or for exercising the right of freedom of expression and information;
to establish, exercise or defend a legal claim.

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

Before we are able to release any of your data, we must be sure of 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 erase 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 erase 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 data are you asking us to delete?

Your rights to make an erasure request and other information are set out above and 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 erased.

What personal data and/or information would you like us to delete? Please include details of any specific documents or information (where relevant) *

Please complete the table below with as much additional information as you can about where the data you want us to delete might be located and any other relevant information. You do not have to provide this information, but doing so will help us to d

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)

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

Your reason(s) for asking us to delete the data

Signature

Please check the information you have provided and sign below.

Signed *

Signature

Date *

Conviction