The Quay 430 Estate Is Covered by a Closed Circuit Television (CCTV) System

Quay 430 CCTV Subject Access Request Form

The Quay 430 estate is covered by a Closed Circuit Television (CCTV) system. Images are recorded and retained for the purposes of health and safety and crime prevention. The scheme is operated by Rendall and Rittner on behalf of Quay 430 Management Limited.

The Data Protection Act provides Data Subjects (individuals to whom “personal data” relates) with a right to access data held about themselves, including data held on Closed Circuit Television (CCTV) systems. To enable Quay 430 Management Limited (or their agents) to deal promptly with your request for access, please complete this form, giving as much information as possible to help us identify your personal data. Under the terms of the Data Protection Act 1988, Quay 430 Management Limited has 40 days to comply with your request. The processing commences when your completed form and the fee of £10 (made payable to Quay 430 Management Limited) are received by the Data Protection Officer, although processing may be delayed if you have provided insufficient details.

Disclosure of personal data is limited to the Data Subject or authorised legal representative. To ensure personal data is not released to the wrong person, a Data Controller must be satisfied of the applicant’s identity. To that end the following information and documentation is required.

1)  A recent full-face colour photograph of the Data Subject.

2)  A document displaying the Data Subject’s home address, eg. A utility bill or bank statement.

3)  One additional piece of photo ID e.g. New style driving licence or passport (A colour photocopy will suffice in the first instance; the original document must be produced before viewing of data is permitted).

4)  For security reasons and to confirm identity, disclosure will take place in person at a location chosen by the Data Controller or their representatives. No copy will be supplied by post unless original photo ID is supplied with this application.

1 / Title, name and address of the applicant:
If you are the Data Subject (the person whose information is held by Quay 430 Management Limited) please complete the following.
Date of birth:
Daytime telephone number:
Email address:
2 / Are you the Data Subject (the person to whom the personal data relates)?
Yes / No (Please delete).
If “Yes”, please proceed to question 5.
3 / Are you the agent of the Data Subject with written authority?
Yes / No (Please delete).
If “Yes” please attach a copy of the authority to act on the Data Subject’s behalf and enter the details required for the Data Subject in Question 4.
If “No” please answer the following:
i)  What is your relationship to the data subject?
ii)  Can you provide confirmation of your entitlement to act on the data subject’s behalf?
Yes / No (Please delete).
4 / FOR USE BY AGENTS OF THE DATA SUBJECT ONLY
Please give your daytime telephone number:
Enter the Data Subject’s title, name, address and date of birth below:
5 / TO BE COMPLETED BY ALL APPLICANTS:
In order for Quay 430 Management Limited to identify the data you require access to, please provide the following information:
i)  The exact date, time and location of the CCTV system containing the footage required.
ii)  Information sufficient to enable identification of the Data Subject (a full description including clothing, height and/or a photograph). Use a separate sheet of paper if necessary.
6 / If appropriate personal data is located as a result of this search, would you be satisfied with merely viewing the images recorded?
Yes / No (Please delete).
7 / I understand that it may be necessary for Quay 430 Management Limited (or their agents) to obtain more detailed information in order to be satisfied as to my/the Data Subject’s identity or locate my/the Data Subject’s personal data. In addition, I understand that the search may show that Quay 430 Management Limited does not hold any personal data about me, or the person on whose behalf I am applying. If this is the case, I will be informed, but the £10 fee will not be refunded.
I enclose the following items:
i)  The fee of £10 as requested (cheques and postal orders should be made payable to Quay 430 Management Limited).
ii)  A recent full-face colour photograph of the Data Subject.
iii)  One item of photo ID of the Data Subject (new style driving licence or passport).
iv)  One item of documentary address identification.
Please note that in the event that information supplied would seriously prejudice the prevention or detection of crime, Quay 430 Management Limited have the right under the Data Protection Act to refuse requests for access.
Signed:
Dated:
Return this form to: The Data Protection Officer, Quay 430 Management Limited, c/o Rendall and Rittner Limited, Gun Court, 70 Wapping Lane, London E1W 2RF.
FOR USE BY THE DATA CONTROLLER:
Date application received:
Name and address of applicant:
Payment method (cheque/cash/postal order):
Information sufficient to locate (Yes / No)?
If “No”, date letter sent requesting more information:
Identification checked out (Yes / No)?
Documents submitted (e.g. new style driving licence, passport, proof of address).
Date documents returned:
Search carried out by:
Date of search:
Result of search:
Third party images in footage (Yes / No)?
Editing required (Yes / No)?
Editing company details:
Date sent to editing company:
Date received from editing company:
Disclosure allowed (Yes / No)?
Extent of disclosure:
Date of Disclosure:
Copy made of footage, or viewing by Data Subject at CCTV premises?
Result of disclosure:
Disclosure refused reasons:
Name of person performing disclosure:
Name and signature of Data Controller:
Notes:
/ The Data Protection Officer, Quay 430 Management Limited, c/o Rendall and Rittner Limited, Gun Court, 70 Wapping Lane, London E1W 2RF
Website: http://www.quay430.co.uk