PROPHET Profiling Complaint Form

Full Name *Postal Address *Email Address *

Preferred method of contact *

EmailPost

Please select the type(s) of concern (tick all that apply) *

Unlawful processing of personal dataFailure to respond to Subject Access Request (SAR)Data breach / unauthorised disclosureExcessive or irrelevant data collectionFailure to erase / restrict dataRefusal of right to objectInaccurate personal data heldOther (describe below)

Please describe your complaint in detail *(Include what happened, when it happened, and how it has affected you.)Date(s) the issue occurred or was first discovered *DD/MM/YYYY - or enter a date range if ongoingWhat impact has this had on you? *E.g. Financial loss, distress, reputational harm, loss of access to services, etc.What outcome are you seeking? *If 'Other' - please specify?