Data Protection Complaint Form

Your Details

Full Name *

Street Address *

Town / City

Postal code *

Email Address *

Phone *

Preferred contact method *TelephoneEmailPost

Are you complaining for yourself or on behalf of someone else?

Please select as appropriate *I am complaining about my own personal informationI am complaining on behalf of someone else

Name of person represented

Confirm authorityIf you are complaining on behalf of someone else, please provide their name and confirm your authority to act for them, such as written authority or power of attorney.Confirm

What is your complaint about?

Please tick any that applyAccess to my informationIncorrect or incomplete informationDeletion or retention of informationUse of my informationSharing my informationMarketing communicationsSecurity or data breach concernOther data protection concern

Date issue occurred / noticed

Luna Move property/address involvedIf relevant

Name(s) of any staff or third parties involvedIf known

Details of your complaint *Please explain what happened, when it happened, who was involved, and why you believe your personal information has not been handled correctly.

What would you like Luna Move to do?Please tick any outcome(s) you are seekingExplain what happenedCorrect inaccurate informationDelete information where appropriateRestrict how information is usedStop certain processingReview a decision or actionImprove proceduresOther

Supporting documentsYou can upload any documents, screenshots, or other evidence you would like to provide with this form. (Max 5MB)

Declaration

Date *