Online Subject Access Request

Made on behalf of of an individual

Please complete this form if you are making the request on behalf of someone else.

If you wish to make a SAR on behalf of Severn Trent's employee, former employee or prospective employee, do not use this form. You can make a SAR by completing the forms linked here:

If you prefer to make your request through other means, you can call us, write an email or send us a letter. For more information on alternative ways to submit your request, please see Section How do you contact us? or Section 14 Contacts, queries and complaints of our Privacy Notice.

{panel-id} Your details

The asterisk (*) symbol denotes required fields.

About the individual you're making this request for

AccountNo:

Please enter a valid accountno:

Full name of the individual you make a request on behalf of: *

Please enter a valid full name of the individual you make a request on behalf of:

Address 1 of the individual you make a request on behalf of: *

Please enter a valid address 1 of the individual you make a request on behalf of:

Address 2 of the individual you make a request on behalf of:

Please enter a valid address 2 of the individual you make a request on behalf of:

Town or City of the individual you make a request on behalf of: *

Please enter a valid town or city of the individual you make a request on behalf of:

Postcode of the individual you make a request on behalf of: *

Please enter a valid postcode of the individual you make a request on behalf of:

Email of the individual you make a request on behalf of: *

Please enter a valid email address

About you

Your full name: *

Please enter a valid your full name:

Your telephone: *

Please enter a valid your telephone:

Your email: *

Please enter a valid email address

Please provide a photocopy or a scanned image of one of the following as proof of your identity (Please tick which form of identity you intend to provide): *

Please select a title

Choose file *

Upload Please upload a file

Please provide a photocopy or a scanned image of one of the following as proof of the identity of the data subject (Please tick which form of identity you intend to provide): *

Please select a title

Choose file *

Upload Please upload a file

Evidence that you are authorised to act on behalf of an individual:*

Please provide appropriate evidence, e.g. a written authority signed by the individual, electronically signed letters of authority or documented powers of attorney.

Choose file *

Upload Please upload a file

{panel-id} Receiving your data

The asterisk (*) symbol denotes required fields.

How would you like to receive the subject's personal data?

Please select a title

If you have requested your data via post, please provide details of the address you would like the personal data to be sent to:

Address 1 to send the personal data to:

Please enter a valid address 1 to send the personal data to:

Address 2:

Please enter a valid address 2:

Town or city:

Please enter a valid town or city:

Postcode:

Please enter a valid postcode:

Do you have any accessibility requirements? *

Please select a title

If YES, please specify:

Please enter your description

Please agree to our terms and conditions

Online Subject Access Request

Made on behalf of of an individual

About the individual you're making this request for

About you

Choose file *

Choose file *

Evidence that you are authorised to act on behalf of an individual:*

Please provide appropriate evidence, e.g. a written authority signed by the individual, electronically signed letters of authority or documented powers of attorney.

Choose file *

If you have requested your data via post, please provide details of the address you would like the personal data to be sent to:

How long would you like to go back? We can send you all of the individual's personal data or just the last 1, 3, 6, 12 months worth OR you can enter a date range.