Part D: Parent, Legal Guardian or Representative

You should complete Part D if you are filling out this form for: someone aged under 18 for whom you have parental responsibility, or someone for whom you are a representative or a legal guardian. You do not need to complete this section if you are just helping the person fill out this form.

1. Representative’s Details
1. First name/s:
2. Surname:
3. What is your relationship to the applicant?
4. What is your authority to act on behalf of the applicant?
5. What is your date of birth? (DD/MM/YYYY)
6. How would you like us to contact you?
7. Can we use SMS to contact you?
8. Do you need an interpreter to help us communicate with you?
9. Would you prefer to receive letters or emails about the applicant’s access request?