Subject Access Request (SAR)

Section 1 - Who is this request for?

First name *

Last name *

Date of birth *

Address *

Email address *

Confirm email address *

Tenancy ref (if known)

Section 2 - Representative details

Should data be sent to representative? *

Yes

No

Representative full name *

Please confirm permission *

I (the representative) confirm I have permission from the person in Section 1 and will attach their written authority with submitting this form

I (the person in Section 1) confirm I have obtained permission from my Representative to provide their details to you

Representative address (including postcode) *

Representative email address *

Section 3 - Information

Give details of any specific personal data required and any relevant dates *

Please send a copy of the requested personal data to: *

Please tick the relevant categories that apply to the personal data *

Tenancy or leasehold file

Anti-social behaviour

Complaints

Care / support file

Repairs report data

Rent / service charge data

If 'Other' please specify

Please provide further details for the categories you selected above *

From date (for data required) *

To date (for data required) *

I declare that the information given is true and accurate *

Yes, I agree

No, I disagree

I understand that it is an offence under section 170 of the Data Protection Act 2018 to give false information to unlawfully obtain personal data to which I am not entitled to

Yes, I agree

No, I disagree

Date *

Section 4 - Further details

Are you a Karibu colleague completing this form on the customer's behalf? *

Yes

No

Section 5 - Data protection

✅ Before the data is released to you, we will need to verify your identity. This can be in the form of a passport, driver’s licence, or a recent utility bill.

✅ We take our data protection responsibilities seriously and collect, store and process data in line with data protection law. To find out more about how we use your personal information please visit our privacy policy statement.