PROTECTIVE MARKING IF REQUIRED

Report Request – Need to Know Form (UK)

Office Use Only
Request ID:

Requester’s Details (external to Dstl)

Please provide your details here.

Title / Full Name / Date of Birth
Company / Organisation
Full Postal Address
Tel No(please include dialling codes) / Fax No / Email

Document Details

In order that KIS Reports Team can identify the item as quickly as possible, please provide all the information you have about the document. If appropriate please tick the boxes.

Dstl KIS Reference Number / Not Known
Report Number / Not Known
Title / Not Known
Report Date / Not Known
Author(s) / Not Known
Organisation / Not Known
Source of reference (essential if KIS reference number is not known)

Sponsor Details

To assist your application, please provide the following details:

Sponsor Name
Are they from MoD or Dstl / MoD or Dstl Contract / Project No.
Tel No / Email
Department

Services

Documents may take sometime to acquire and if clearance is required KIS rely on the response time of the appropriate release authority. Please advise If there is a date after which the document will be of no use to you. If reached this will enable the Reports Team to automatically cancel the request

Last Date for useful response

Your “Need to Know”

It is likely that your document request may be reviewed for release by the Originator or Dstl’s Intellectual Property Group. It is therefore beneficial to supply a justification statement to support your request for this document to be released. The information you provide contributes to their decision.

Justification Statement
/ Data Protection Act. In accordance with the Data Protection Act 1998, Dstl will collect, use, protect and retain the information on this form in connection with all matters relating to our personnel administration and policies.

Information Management ProcessPage 1 of 2

Date of issue Dec 10Dstl/MS/Version.2.0

PROTECTIVE MARKING IF REQUIRED

PROTECTIVE MARKING IF REQUIRED

When complete, this form may be faxed oremailed.

Fax. 01980 613328

E-mail.

/ Data Protection Act. In accordance with the Data Protection Act 1998, Dstl will collect, use, protect and retain the information on this form in connection with all matters relating to our personnel administration and policies.

Information Management ProcessPage 1 of 2

Date of issue Dec 10Dstl/MS/Version.2.0

PROTECTIVE MARKING IF REQUIRED