Request for information

* Required Fields

This form is for requests for information from the Counter Fraud Team at Derby City Council and its partners. Please make sure you complete all parts of this request as incomplete forms and information requests will be rejected. If you need to discuss please contact us on either Fraud@Derby.gov.uk or phone 01332 640888

Your Details

Please make sure your complete all your contact details so we can send a response to you.

Your Name *

Company making the request *

Your Contact Number *

Your Contact email *

Customer Details

Please confirm the full details on the person you are requesting information above, please make sure you complete all of the requested details as missing details may delay the response.

First Name *

Surname *

DOB

Address Line 1 *

Address Line 2 *

Postcode *

What Information Do You Require

Information Required *

PLEASE NOTE: If your request under the the Data Protection Act 2018 (including GDPR) please attach your signed form to the bottom of this page. The Counter Fraud Team, will not be able to action these requests without a signed form, confirming the correct legislation you require this information for.

PLEASE NOTE: if you require information from the Elections Register, this will need to be requested directly from this team. Please email your request to elections@derby.gov.uk

What Information do you require? *

Date you need this information *

Choose file to upload (Maximum file size allowed 50 MB)