DATA PROTECTION ACT 1998
APPLICATION FOR INFORMATION HELD ABOUT YOU
Please complete this form in BLOCK CAPITALS to help us deal with your request.
Your details
Title |
Mr / Ms / Mrs / Other |
First/Given Name |
|
Surname/Family name |
|
Address |
|
Postcode |
|
|
|
We may need to contact you for further information about your request, if you would rather this was by phone or email, please indicate your preferred method of contact and provide details below:
|
Telephone |
|
Identification
We need two forms of ID (one proof of your identity and one proof of your address) before we can deal with your request. Please see the list below for acceptable forms of ID. Please send us copies not originals.
Personal Identity |
Address verification |
Current valid (signed) full UK Passport |
Recent Utility Bill - Gas, Electricity, Water, Telephone (Not mobile phones) |
Current valid (signed) overseas Passport |
Mortgage Statement or Mortgage Redemption Statement |
Current valid EEA Member State ID card |
Council Tax Bill |
Current Residency Permit issued by Home Office |
Current Full UK Driving Licence (Paper document) |
Current Full UK Driving Licence |
Current UK/EU Photocard Driving Licence |
Current UK/EU Photocard Driving Licence |
House or motor insurance certificate |
Current State Pension book/notification letter |
Current State Pension book/notification letter |
Current Benefits Agency Book/letter |
Current Benefits Agency Book/letter |
Current years Inland Revenue Tax Code Notification |
Current Local Authority Rent Card, Rent Book or Tenancy Agreement |
|
Bank / Building Society / Credit Union Statement or passbook |
|
Solicitor letter confirming completion of house purchase or land registration |
|
Credit Card Statement |
Location of the information
Haringey Council is a large organisation that delivers hundreds of different services. Please provide some details to help us locate the information you are seeking:
Please describe the information you want:
|
|
|
Which Council service do you think holds the information you want?
|
|
|
Please provide any other details which may help with the search e.g. your former names, relevant dates.
|
|
Fee
Please send a cheque or postal order for £10 made payable to “London Borough of Haringey”.
Signature: |
|
Date:
|
|
Please send the completed form to:
Feedback and Information Team
Floor 7
River Park House
225 High Road
Wood Green
LONDON
N22 8HQ
Tel: 020 8489 2550