For use by the organisation making the request for data sharing
Name of organisation
Name and position of person requesting data
If requester is not the data protection officer (DPO) or equivalent, have they been consulted and their views considered?
Date of request
Description of data requested
| Data controller relationship: | ☐ Joint ☐ Separate |
| Will we have a data sharing agreement in place? | ☐ Yes ☐ No |
Purpose of sharing
| Does processing involve any special category data (or sensitive processing under part 3 DPA 2018)? | ☐ Yes ☐ No |
Are there any specific arrangements for retention / deletion of data?
Are there any circumstances in the proposed sharing that might result in a risk to individuals?
Date(s) provision of data is required