First Light

Are you requesting your own information or on behalf of someone else?*

Requests made on behalf of someone else must be made with their permission, unless you have a legal power to act on behalf of a person who does not have the capacity to consent to this request themselves.

Requesting your own information

Your details*

First Last

Are there any other names that you are known to us by? e.g. Maiden name

Your date of birth*

Current address*

Street Address Address Line 2 City ZIP / Postal Code Country

Phone*

Is it safe for us to leave a voicemail on this number?*

Yes
No

Email*

Is it safe for us to write to this email address?*

Yes
No

It is necessary for us to confirm the identity of anyone requesting their information, please attached one form of photographic ID (Passport, Driving license or National ID card):*

Requesting someone elses information

Name of the person you are requesting information for*

First Last

Are there any other names the data subject is known to us by? e.g. Maiden name

Their date of birth*

Their current address*

Street Address Address Line 2 City ZIP / Postal Code Country

Their phone number*

If you are making a request on behalf of a child who does not have the capacity to consent to this request, please type N/A in the box above.

Is it safe for us to leave a voicemail on this number?*

Yes
No

Their Email

If you are making a request on behalf of a child who does not have the capacity to consent to this request, please type N/A in the box above.

Is it safe for us to write to this email address?*

Yes
No

It is necessary for us to confirm the identity of the data subject, please attached one form of photographic ID (Passport, Driving license or National ID card):*

If you are making a request on behalf of a child who does not have the capacity to consent to this request, then a copy of the child's birth certificate may be provided if they do not hold a passport in their own name.

What is your relationship to the data subject?*

Please select one of the following*

I am attaching written consent or legal authority on behalf of the person I am requesting data for, and identification to confirm my identity (Passport, Driving License or National ID card)
I am a parent or guardian acting on behalf of a child who does not have the capacity to understand the nature and reason of the request and attach identification to confirm my identity (Passport, Driving License or National ID card)
I am a legal representative acting on behalf of my client and attach consent to request this information on headed paper
I am unable to provide any of the above (please note that we will make contact with you on receipt of this request to arrange the required permissions)

File

Drop files here or

Your details*

First Last

Your address*

Street Address Address Line 2 City ZIP / Postal Code Country

Your phone*

Your email*

About the data you are requesting

To help us locate your information, please select which First Light services have been used:*

Safer Futures (Cornwall & IoS Domestic Abuse and Sexual Violence Service)
Devon and Cornwall ISVA Service
Swindon and Wiltshire SARC
Plymouth Therapy Service
Other

Other, please state:

Please provide further information about the information you want to access. It is important we have enough detail so that we can identify the relevant information and respond to your request:*

How would you like to receive this information?*

CAPTCHA

Accessing information held by First Light.

Requesting your own information

Requesting someone elses information

About the data you are requesting