Data Protection Complaint Form - The Worshipful Company of Nurses

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Data Protection Complaint Form

Under the UK General Data Protection Regulation (UK GDPR) and Data Protection Act 2018.

Use this form to raise a complaint about how we have handled your personal data. We will acknowledge your complaint within 30 days and aim to resolve it without undue delay. If unsatisfied with our response, you may complain to the ICO at ico.org.uk or call 0303 123 1113.

Section 1 — Your Details

Full Name

Address

Address Line 1

Address Line 2

City

State/County

Post/Zip Code

Country

Email Address

Phone Number

Section 2 — Nature of Your Complaint

Date of Incident or Concern

What personal data is involved?

Type of Complaint (tick all that apply)

Unauthorised access to my data

Data shared without my consent

Inaccurate data held about me

Data retained longer than necessary

Refusal of a subject access request

Refusal to delete my data

Other (please describe below)

Please describe your complaint in full

Section 3 — Previous Contact

Have you previously contacted us?

Yes

No

If yes — when and how did you contact us?

Date & Reference (if applicable)

Section 4 — Desired Outcome

What outcome are you seeking?

Section 5 — Declaration

I confirm that the information provided in this form is accurate to the best of my knowledge. I understand that my personal data will be used solely to investigate and respond to this complaint, in accordance with the Privacy Policy and UK GDPR obligations.

Signature (type your full name)

Date