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Essex PFCC

Title*

Have you ever been known by any other names?*

If you have answered Yes to the question above, please provide a list of all your previous names below, including maiden/married names, names prior to and after change by deed poll, and name at birth if different from the above. Failure to answer this question will delay your request. If you run out ofspace, please supply any additional information on a separate sheetPlease provide surnames in UPPER CASE.

Gender*

Current Address*

This is the physical address at which you reside (not a PO Box) and should be shown on your proofs of address.

Date From*

Previous Address*

If the information you are requesting refers to a previous address you have lived at, it will assist our search if you indicate you previous address below.

Date From*

Date To*

Delivery of your disclosure

How would you like your subject access disclosure to be delivered?

Email disclosures will be sent to the email address specified above. Please be aware that whilst the email response will be sent from a secure network, unless you have a secure email address the delivery to your personal inbox is an insecure connection via the public internet. The Police and CrimeCommissioner cannot accept responsibility for any loss or inappropriate access to the email response once it has left our secure network. It is also the responsibility of the applicant to ensure that the email address submitted is accurate.

Alternative postal address

If the information you are requesting refers to a previous address you have lived at, it will assist our search if you indicate you previous address below.

Date From*

Date To*

Third Party Nomination

The Office of the Police, Fire and Crime Commissioner (OPFCC) will not discuss your request with another party or disclose details without your consent. If for any reason you wish to nominate a representative to discuss this request on your behalf you must provide their contact details below. Providing contact details for a third party will be considered as consent. If you are a Power of Attorney for the applicant, please enclose a copy of the Power of Attorney documents with this request.

Information Requested

To help find any information that may be held about you, please supply additional details in the box below. For example: A description of the information you are looking for, A description of the circumstances in which you had contact with the OPFCC – e.g. were you a correspondent, a complainant, etc. Do you have a correspondence reference number, dates and times or any other information you can provide which may assist us in finding the information you seek.

Signature *

This site is protected by reCAPTCHA and the Google Privacy Policyapplies.

The Office of the Police, Fire and Crime Commissioner for Essex will use and store the information you provide to respond to your enquiry. Your information will only be used for this purpose. In some circumstances the Office will need to share the data you provide with Essex Police or Essex Fire and Rescue Service in order to answer your enquiry.

We store all correspondence for three years after which it will be deleted. You can withdraw your consent at any time.