add data access documents

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Jolly Good 2019-05-26 18:18:16 +02:00
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**Company name**
**Street/Address**
**ZIP, City**
**Country**
**Your name**
**Street/Address**
**ZIP, City**
**Country**
**Your email**
**Your phone number**
In **City**, **Day** of **Month** **This year**
**Requesting access to personal data**
To Whom It May Concern,
I am writing to you in your capacity as data protection officer for your company and I am making
this request for access to my personal data pursuant to Article 15 of the Regulation (EU)
2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of
natural persons with regard to the processing of personal data and on the free movement of such
data, and repealing Directive 95/46/EC (the “GDPR”).
I am including a copy of documentation necessary to verify my identity.
Please advise as to the following:
1. Please confirm whether or not any of my personal data is being processed. If any of
my personal data is being processed, please provide me with the information of which
categories of personal data are being processed.
a. In particular, please tell me what you know about me in your information
systems, whether or not contained in databases, and including e-mail, documents on
your networks, or voice or other media that you may store.
b. Additionally, please advise me in which countries my personal data is stored,
or accessible from. In case you make use of cloud services to store or process my data,
please include the countries in which the servers are located where my data are or were
(in the past 12 months) stored. Should the personal data be stored on servers outside
the EEA, please provide such information.
c. Please provide me with a copy of, or access to, my personal data that you
have or are processing and if possible with information regarding the exact date you
obtained that particular data.
2) Please provide me with a detailed list of the specific purposes of processing of my
personal data.
3) Please provide a list of all third parties with whom you have (or may have) shared my
personal data. Should these third parties further provided my personal data to another subject,
please provide who these subjects are/were.
a. If you cannot identify with certainty the specific third parties to whom you
have disclosed my personal data, please provide a list of third parties to whom you may
have disclosed my personal data.
b. Please also identify in which jurisdictions do the third parties that you have
identified in 1(a) above that these third parties with whom you have or may have shared
my personal data, from which these third parties have store or can access my personal
data or from which jurisdictions are my personal data accessed. Please also provide
insight in the legal grounds for transferring my personal data to these jurisdictions.
Where you have done so, or are doing so, on the basis of appropriate safeguards,
please provide a copy.
c. Additionally, I would like to know what appropriate safeguards pursuant to
article 46 of GDPR that have been put in place in relation to these third parties that you
have identified in relation to the transfer of my personal data.
4) Please advise how long you store my personal data, and if retention is based upon
the category of personal data, please identify how long each category is retained.
5) If you are additionally collecting personal data about me from any source other than
myself, please provide me with all information about their source, as referred to in Article 14 of
the GDPR.
6) If you are making any automated decisions about me, including profiling, whether or
not on the basis of Article 22 of the GDPR, please provide me with information concerning the
basis for the logic in making such automated decisions, and the significance and consequences
of such processing.
7) I would like to know whether or not my personal data has been disclosed
inadvertently by your company in the past, or as a result of a security or privacy breach.
a. If so, please advise as to the following details of each and any such breach:
i. a general description of what occurred;
ii. the date and time of the breach (or the best possible estimate);
iii. the date and time the breach was discovered;
iv. the source of the breach (either your own organization, or a third
party to whom you have transferred my personal data);
v. details of my personal data that was disclosed;
vi. your companys assessment of the risk of harm to myself, as a result
of the breach;
vii. a description of the measures taken or that will be taken to prevent
further unauthorized access to my personal data;
viii. contact information so that I can obtain more information and
assistance in relation to such a breach, and
ix. information and advice on what I can do to protect myself against
any harms, including identity theft and fraud.
b. If you are not able to state with any certainty whether such an exposure has
taken place, through the use of appropriate technologies, please advise what mitigating
steps you have taken, such as
i. Encryption of my personal data;
ii. Data minimization strategies; or,
iii. Anonymization or pseudonymization;
iv. Any other means
8. I would like to know your information policies and standards that you follow in relation
to the safeguarding of my personal data, such as whether you adhere to ISO27001 for
information security, and more particularly, your practices in relation to the following:
a. Please inform me whether you have backed up my personal data to tape,
disk or other media, and where it is stored and how it is secured, including what steps
you have taken to protect my personal data from loss or theft, and whether this includes
encryption.
b. Please also advise whether you have in place any technology which allows
you with reasonable certainty to know whether or not my personal data has been
disclosed, including but not limited to the following:
i. Intrusion detection systems;
ii. Firewall technologies;
iii. Access and identity management technologies;
iv. Database audit and/or security tools; or,
v. Behavioural analysis tools, log analysis tools, or audit tools;
9. In regards to employees and contractors, please advise as to the following:
a. What technologies or business procedures do you have to ensure that
individuals within your organization will be monitored to ensure that they do not
deliberately or inadvertently disclose personal data outside your company, through
e-mail, web-mail or instant messaging, or otherwise.
b. Have you had had any circumstances in which employees or contractors
have been dismissed, and/or been charged under criminal laws for accessing my
personal data inappropriately, or if you are unable to determine this, of any customers, in
the past twelve months.
c. Please advise as to what training and awareness measures you have taken
in order to ensure that employees and contractors are accessing and processing my
personal data in conformity with the General Data Protection Regulation.
Finally, I would like you to be aware at the outset, that I anticipate reply to my request within one
month as required under Article 12 GDPR, failing which I will be forwarding my inquiry with a
letter of complaint to the relevant data protection authorities. In case you will not be able to
respond to my request within specified date and will, under the GDPR provided measures, be
aiming to prolong such term because of the complexity of my request, please respond to my
questions in the maximum possible extent during the original one month term. Should you
require any additional information from myself in order identify me as the subject of data being
processed by you, please contact me immediately.
Yours Sincerely,
..............................
**Personal identification information**
Temporary residence: **fill the information \*optional**
Permanent residence: **fill the information \*optional**
Personal identification number (Birth number): **fill the information \*optional**
Date of birth: **fill the information \*optional**
ID number: **fill the information \*optional**
Passport number: **fill the information \*optional**

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