(for completion and signature by the complainant) To whom it may concern I, of ……………………………………………………..…………………..(complainant) ………………………………………………………………………………………………….. …………………………………………………………………………………………………. hereby give my consent to the disclosure of my personal records held by (signatory agency) to …………………………………………………………………….. agency), to assist the …………………….……………………………………..(signatory investigation of my complaint (Reference…………….) by………………. ……………… (Investigating Officer). The reason for this have been explained to me by (Lead Organisation) ……………………………………………….. Signed: …………………………………………………… Dated: ……………………………………………………
(for completion and signature by the complainant) To whom it may concern I, ……………………………………………………..…………………..(complainant) of ………………………………………………………………………………………………….. …………………………………………………………………………………………………. hereby give my consent to the disclosure of my personal records held by …………………………………………………………………….. (signatory agency) to …………………….……………………………………..(signatory agency), to assist the investigation of my complaint (Reference…………….) by………………. ……………… (Investigating Officer). The reason for this have been explained to me by ……………………………………………….. (Lead Organisation) Signed: …………………………………………………… Dated: ……………………………………………………