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Data Subject Access Request Form Template for Netherlands

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Key Requirements PROMPT example:

Data Subject Access Request Form

"I need a Data Subject Access Request Form that complies with Dutch law for my technology company operating in Amsterdam, with specific sections for requesting access to AI-processed data and automated decision-making records."

Document background
The Data Subject Access Request Form is a critical document required under both the EU General Data Protection Regulation (GDPR) and Dutch data protection law. It serves as the formal mechanism through which individuals can request access to their personal data from organizations processing such information in the Netherlands. This document is essential for organizations to demonstrate compliance with Article 15 of the GDPR and corresponding provisions in the Dutch GDPR Implementation Act (UAVG). The form should be used whenever an individual wishes to understand what personal data an organization holds about them, how it's being used, and who it's being shared with. It includes necessary fields for identity verification, request specification, and processing preferences, while incorporating appropriate security measures to prevent unauthorized access to personal data.
Suggested Sections

1. Data Subject Details: Essential information to identify the data subject including full name, address, contact details, and any relevant identification numbers or account references

2. Request Details: Specific information about what personal data the subject is requesting access to, including relevant time periods and types of data

3. Identity Verification: Section specifying what proof of identity is required and how it should be submitted

4. Processing Preferences: How the data subject would like to receive their information (e.g., electronic format, hard copy)

5. Declaration: Statement confirming that the information provided is accurate and that the person understands the nature of their request

6. Data Controller Information: Details of the organization receiving the request, including contact information for the Data Protection Officer

Optional Sections

1. Representative Details: Section for cases where someone is acting on behalf of the data subject (e.g., legal representative, parent of a minor)

2. Specific Data Categories: Additional section for when the data subject wants to request specific categories of data rather than all personal data

3. Urgent Request: Section to indicate and justify if the request needs to be processed urgently

4. Previous Requests: Information about any previous DSARs submitted by the data subject

Suggested Schedules

1. Schedule 1: Identity Verification Requirements: Detailed list of acceptable identity documents and requirements for verification

2. Schedule 2: Privacy Notice: Information about how the personal data provided in the form will be processed

3. Schedule 3: Guidance Notes: Helpful information about filling out the form and what to expect in the process

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓÆµ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions

























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Relevant Industries

Financial Services

Healthcare

Retail

Technology

Education

Insurance

Telecommunications

Government

Professional Services

E-commerce

Manufacturing

Human Resources

Transportation

Hospitality

Non-profit Organizations

Relevant Teams

Legal

Compliance

Data Protection

Information Security

Customer Service

Human Resources

Information Governance

Risk Management

Operations

Privacy Office

Relevant Roles

Data Protection Officer

Privacy Officer

Legal Counsel

Compliance Manager

Information Security Manager

Customer Service Representative

HR Manager

Privacy Analyst

Records Manager

Information Governance Officer

Risk Manager

Operations Manager

Customer Relations Manager

GDPR Coordinator

Privacy Champion

Industries





Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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