Request For Access To Information Form - Scotland Police Page 2

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RESTRICTED – WHEN COMPLETE
Proof of Identity
To help us establish your identity, your application should be accompanied by two official
documents; e.g. birth/adoption certificate, driving licence, passport, utility bill, etc.
It is essential that there is confirmation of your date of birth and current address. Any original
documents will be returned with the reply to your request. PSoS cannot accept liability for the
loss of documents in transit.
Please note: photocopies are acceptable.
The Chief Constable will only provide information if he is fully satisfied as to your identity.
YOUR PERSONAL DETAILS
(Please use block capitals and black ink)
Title
Surname/ Family
Name
Forename(s)
Maiden/Former
Name/Other
Date of Birth
/
/
Place of Birth
Gender (tick box)
Male
Female
Occupation
Home Address
Post Code
Previous Address (es) if you have lived for less than 5 years at the above address
(Continue on a separate sheet of paper if required)
Purpose for Application
Although you are not required to give a reason for your application, it is helpful if you can
indicate below if you are applying for a particular purpose.
RESTRICTED – WHEN COMPLETE
052-002
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V7-A3015

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