Central Chamber Law

Data Protection Complaint Form

For concerns about how we have handled your personal information. Using this form is optional.

Your Details

Full Name

Telephone Number

Address

Email Address

Preferred Contact Method

Email Telephone Post

Your Connection to the Matter

How are you connected to the matter?

Details of Your Data Protection Complaint

What personal information is affected?

Examples: contact details, identification documents, case information, financial information

What happened, and when?

Please describe the events, including dates if known.

Why are you unhappy with how we handled your personal information?

What outcome are you seeking?

Supporting Information

Reference Numbers (if any)

Attachments Provided

Yes No

If yes, please list

Identity Verification

If Required We may need to verify your identity before sharing information with you. We will not ask for more information than necessary and will not insist on ID where it would be unreasonable.

If we require ID, we will contact you.

Complaints Made on Behalf of a Child

Child’s Name

Your Relationship to the Child

Does the child have capacity to understand the complaint?

Yes No Unsure

Declaration

I confirm that the information provided is accurate to the best of my knowledge.

Signature

Date

Data Protection Complaint Form

Your Details

Your Connection to the Matter

Details of Your Data Protection Complaint

Supporting Information

Identity Verification

Complaints Made on Behalf of a Child

Declaration

How We Will Handle Your Complaint

Submitting This Form

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