Access to children's social care records

Section 1:
Your application is for:
For your own informationFor your child's informationOn behalf of someone else
If you are applying on behalf of someone else, please state your relationship to the other person:
Please note: There is not an automatic right of access to the personal data of other people (including your children) and your request may be refused. We reserve the right to contact the person whose information you are requesting to seek their consent for you to act on their behalf and access their information. This can depend on the age and competency of the person.
Title:
Name

First name

Last name
Previous/other names (only needed if you are applying for your own information):

First name

Last name
Address line:
Town/Village:
Postcode:
Phone
Email (Please ensure this is correct as we will send the information you have requested to this email address)

Section 2a: Data Subjects
Details of the person(s) whose data is being requested (subject)
Name

First name

Last name
Previous/other names:
Current address
Date of birth (DD/MM/YYYY)
Do you wish to add any other data subjects to the form?
YesNo

Section 2b: Data Subjects
Details of the person(s) whose data is being requested (subject)
Name

First name

Last name
Previous/other names:
Current address
Date of birth (DD/MM/YYYY)
Data
Details of the person(s) whose data is being requested (subject)
Name

First name

Last name
Previous/other names:
Current address
Date of birth (DD/MM/YYYY)
Data
Details of the person(s) whose data is being requested (subject)
Name

First name

Last name
Previous/other names:
Current address
Date of birth (DD/MM/YYYY)
Data
Details of the person(s) whose data is being requested (subject)
Name

First name

Last name
Previous/other names:
Current address
Date of birth (DD/MM/YYYY)

Section 3
Please provide us with details about when you or the data subject(s) were in contact with Staffordshire County Council. Please include the dates you were in contact, the department(s) you were in contact with as well as the names of any staff members or reference numbers you may have been given:
Please describe what information you are requesting below. Please be as specific as possible as this will help speed up your request. For instance, you may request information between specific dates, or specific documents. Please note that if you are requesting all information held then this may take longer for us to provide depending on how much information we hold:

Section 4
Identification

We require evidence of your identity and address, and if you are requesting information on behalf of someone else, we also require evidence that you have the right, or are authorised to do so. Please provide copies (not originals) of documents listed below:

List A
- Passport
- Photocard Driving Licence
- Foreign National Identity card
- Birth Certificate
- Biometric residence Permit
- Marriage/Civil partnership certificate
- Adoption certificate
List B
- Utility bill
- Bank or building society statement
- Council tax bill/statement
- Mortgage statement
- Credit card statement
- P45 or P60 statement
- Benefit/pension statement
List C
In addition, if you are a parent requesting information relating to your child(ren) (under 12) please include proof of parental responsibility by providing one item from list C below:
- Child's full birth/adoption certificate naming you as the mother/father
- Parental responsibility agreement between birth parents
- Court order granting you parental responsibility
Solicitor

If you are a solicitor requesting information on behalf of your client then please provide proof that you have authority to act on their behalf:
- Written confirmation of instruction from the data subject (or parent for a child under 12)
Requesting information on behalf of someone else

If you are requesting information on behalf of someone else (including children over 12) then please provide us with copies of their identification documents (one from list A and one from list B above) as well as written confirmation that they give you authority to act on their behalf.
- Data subject's identification (list A and B) and written confirmation of authority to act on their behalf.
Are you...
Requesting your own informationA parent requesting data to a child under 16A solicitorA third party

Section 5: Requesting your own data
You will need to upload - Form of personal identity and Form of address identity.
Proof of ID
Proof of address
I can confirm that I have uploaded the requested documents.
Documents uploaded

Section 5: Parent requesting personal data relating to a child under 16
You will need to upload - Proof of parental responsibility, proof of identity and proof of address.
Proof of parental responsibility
Proof of ID
Proof of address
I can confirm that I have uploaded the requested documents.
Documents uploaded

Section 5: A Solicitor requesting personal data of an adult or child
You will need to upload - Written confirmation of instruction from the data subject (or parent for a child under 16)
Proof of written confirmation of instruction from the data subject -
I can confirm that I have uploaded the requested documents.
Documents uploaded

Section 5: Third Party
You will need to upload - Evidence that you can act on behalf of the data subject, Proof of ID and Proof of address.
Evidence that you can act on behalf of a third party
Proof of ID
Proof of Address
I can confirm that I have uploaded the requested documents.
Documents uploaded

Section 6: Signature

Please read the below and agree;

I understand that it is a criminal offense to knowingly obtain, disclose or procure the disclosure of information that i have no legal right to.

I declare that the information provided on this form is correct to the best of my knowledge.

The information provided on this form will be used by Staffordshire County Council solely for the purpose of processing your Subject Access Request.
I confirm and agree
Electronic signature
Date

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How to make a request

Apply online

Paper form

Help and advice

Apply online

Please note:

Identification

List A

List B

List C

Solicitor

Requesting information on behalf of someone else

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