Information Rights Unit PO BOX 57192 London SW6 1SF Or by email: If you have any queries about this application please telephone us on 0207 161 3500. Lines are open between 10am and 2pm. OFFICE USE ONLY: To be completed by officer receiving Check that the form has been completed and is legible and you are satisfied with the applicant’s identity. Then complete the form below accordingly. Identification documents Application checked and legible? Yes No Yes No checked? Birth/adoption certificate Medical Card Utility Bill Bank Statement Identity Driving Licence (No.) Passport (No.) document(s) Original LOA Other (Specify) (not to be returned to applicant) Applicant Stationed at: name: Print name: Identity documents returned? Yes No Signature: Date:
Information Rights Unit PO BOX 57192 London SW6 1SF Or by email: If you have any queries about this application please telephone us on 0207 161 3500. Lines are open between 10am and 2pm. OFFICE USE ONLY: To be completed by officer receiving Check that the form has been completed and is legible and you are satisfied with the applicant’s identity. Then complete the form below accordingly. Application checked and legible? Yes No Identification documents checked? Yes No Identity document(s) Birth/adoption certificate Bank Statement Medical Card Utility Bill Driving Licence (No.) Passport (No.) Other (Specify) Original LOA (not to be returned to applicant) Applicant name: Stationed at: Print name: Identity documents returned? Yes No Signature: Date:
right-of-access-application-form.docx