Subject Access Request Form

Published date09 September 2019
IssuerDepartment 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
Eircode if
* 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.

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