Data Protection Act 2018
Subject Access Request Form
1. Identity
If you are requesting personal data of which you are the subject you must supply a photocopy of
proof of identity with this form, such as passport, driving licence or University I.D card.
If you are requesting personal data on behalf of a subject you must describe you relationship to
the subject, supply (a) written signed authority of the subject, and (b) a photocopy of proof of the
subject’s identity with this form, such as passport, driving licence or University I.D card.
2. Personal Details of Subject
Title Forename(s) Surname
Any previous name known to the University
Date of birth Current telephone number
Current address Current email address
Relationship to university Start and end dates of employment/education at
The University of Sheffield
Student/staff I.D. number &
college/department
Detailed description of personal data requested
Page 1 of 3
Any other information that could help identify your personal data
3. Alternative Contact Details (third parties only)
If you are a third party requesting personal data on behalf of the subject, please supply your
contact details and describe your relationship to the subject
Title Forename(s) Surname
Address Telephone number
Email address
Relationship to subject
4. Declaration
I certify that the information provided in this form is accurate to the best of my knowledge. I
accept that the University will take reasonable steps to establish identity prior to release of
personal data.
I request that the University of Sheffield provide me with a copy of personal data relating to the
subject named in Section 2 of this form.
I enclose the following:
A photocopy of the data subject’s proof of identity
Written and signed authority of the subject (third parties only)
Signed Please print name Date
Please send completed forms to:
University Secretary’s Office
University of Sheffield
Western Bank
Sheffield
S10 2TN
Alternatively email them to dataprotection@sheffield.ac.uk
Page 2 of 3
Page 3 of 3