Request an Amicable Resolution

If you believe your personal data has been misused and would like to seek a resolution, please complete the form below. We will require supporting evidence.

Verification

Have you contacted the organisation to address your concerns?

Yes

Contact Details

First name *

Last name *

Email address *

Secondary contact email address

Telephone number *

Concern Details

Name of organisation *

Contact email *

Phone number *

Relationship with organisation *

Concern type *

Concern details *

Attach additional relevant documentation here. Each file must be one of the following types: .txt, .doc, .docx, .pdf, .xls, .xlsx, .jpg, .jpeg or .png and under 30MB.

Please note that we will share your information (including your name) and any details you have provided with the organisation involved so that they can respond to the concerns you have raised and so that we can work with them to address those concerns and progress your request for an amicable resolution. In certain circumstances, we may, at our discretion, decide not to share all of the information provided by you with the organisation e.g. where it contains the personal data of another person, or where you have expressly indicated that you consider certain information you have included to be sensitive and/or confidential and that it should not be shared. Please note that this will occur in exceptional circumstances only, where we consider that such information is not material to the concern which has been raised by you and will not hamper the amicable resolution process you have requested.

I understand and wish to proceed with my request for an Amicable Resolution. *

Declaration

I have included all the necessary supporting evidence with my concern at the time of submission.

The information I have provided is accurate to the best of my knowledge.