Data Subject Access Request - IFR
The IFR is the first industry-wide database of known insurance fraudsters.  It is the latest step in the ongoing battle against insurance fraud.

The easiest way to request the information the IFR holds about you is to complete the following Data Subject Access Request.

About you	
Full name:		
Date of birth:	/            /        	
Current address:	

	
Daytime telephone no:		
Email address:		
Gender (please tick):	Female		Male		Unspecified		

Previous name:		
Previous address:
(for the last six years)	

	
Resident from:		To:		
Previous address:	

	
Resident from:		To:		

*If you need to add additional addresses, please continue on a separate sheet.

Supporting Documents
In order for us to confirm your identity, please provide one form of ID confirming your name and date of birth and another to confirm your address (You are unable to use one form of ID for both). Tick one in each column as appropriate. Photocopies are acceptable, please do not send in originals.	
Name and Date of Birth Proof	Name and Address Proof	
Current photo card driving licence 		Utility / TV Licence or local authority bill (Utility bill issued within the last 3 months)		
Current signed passport		Bank statement (issued within the last 3 months)		
Original Birth certificate		Mortgage statement (issued in the last year)		
Official ID Card 		HMRC letter (issued in the current financial year)		
Shotgun licence		NHS medical card or letter from GP confirming registration at practice		
If you have been known by another name, please also include a copy of one of the following forms of identification. Tick as appropriate.	
Marriage certificate		Deed poll notification		
Decree nisi		Decree absolute		

We will always attempt to verify your identity quickly and with minimum inconvenience to you. However, if we cannot be certain that you are entitled to disclosure of the information you requested, as permitted by the Data Protection Act, we will request further documentation to establish your identity.

By completing this form, you are authorising IFB to process your data in line with data protection legislation. Requests will be responded to within one month of receipt of all required information and identification.

Signed:		Date:	       /          /	

Post:	Service Support Team
IFR DSAR
Linford Wood House
6 - 12 Capital Drive
Milton Keynes
MK14 6XT
	Email:
Tel:	dsars@insurancefraudbureau.org 
0345 165 2803	
 How would you like to receive your information? Please select one.	Email:		Post: