Data Protection Commission

Have you complained to us about this specific matter before? *

Yes

Please enter the reference number of your original complaint:*

What was the outcome of your original complaint?*

Have you received a notification of a breach of your personal data from an organisation?

Yes

Have you contacted the organisation about this matter?

Yes

If you have contacted the organisation, please remember to attach any correspondence exchanged with it before you submit this form. If you have not contacted the organisation, we recommend that you do so in the first instance, as this may result in the fastest resolution of your concern

Has the organisation provided you with a Data Protection Commission breach reference number?

Yes

Please enter any Data Protection Commission breach reference number provided to you in correspondence from the organisation

Has the organisation informed you of the likely consequences?

Yes

Has the organisation informed you of the remedial action it is taking?

Yes

Please provide copies of all relevant correspondence, including the breach notification, letter of authority (if contacting Data Protection Commission on behalf of another individual) and evidence of the date of the breach

Are you contacting the Data Protection Commission in relation to a concern about a breach of your personal data?

Part One About you

Please enter Your Details

Details about the organisation to which your concern relates:

Part TwoBreach Details