Subject Access Request Form

• Published date: 09 September 2019
• Issuer: Department of Tourism, Culture, Arts, Gaeltacht, Sport and Media

Subject Access Request Form: Request for a copy of Personal Data under Article 15 of the

General Data Protection Regulation 2018.

Important: A photocopy of your proof of identity (e.g. public services card, passport or driver’s

licence) and a photocopy of proof of address (e.g. utility bill) must accompany this Access

Request Form.

Please complete all parts of this form.

Section A

-

Details of Data Subject (person making request)

Full N

ame

Address

(incl.

Eircode if

possible)

Telephone*

E

-

mail*

* we may need to contact you to discuss / clarify your Subject Access Request

I, …………………………………………………. [insert name] wish to have access to data that I believe the

Department of Transport retains on me as outlined below.

Section B

–

Details of Request

To assist us in locating and identifying the personal data requested, please ensure that you

provide details of your interactions with the various offices/divisions within the Department

with whom you have corresponded with.