VIE consent form

I (name)

Date of Birth

Date

Of (address)

Part A: storing and processing data

I authorise Voices in Exile (ViE) to store and process my personal data in a confidential manner in any database or in electronic or paper files. 'Data' may include names, addresses, details of family members, income, immigration history, national insurance and/or any other information that the worker may feel appropriate and reasonable to collect in order to proceed with my case. ViE will process this data for the purpose of providing advice to me, contacting me to let me know about services or events that may be of interest to me/my family, and for abiding by its monitoring and analysis procedures (for example internal audits and audits by external regulatory bodies such as OISC and funders.

I understand that it will be kept for a minimum of 7 years after my last contact with ViE and may then be destroyed, unless I request my data to be destroyed before this time. I understand that I have the right to see the personal data ViE holds on me, but ViE will require notice to arrange this. I understand that I can withdraw this consent at any time.

I have been given a copy of ViE's Privacy Notice and I understand that ViE's Data Protection Policy is available on request.

Signed

Clear

Date

Enabling, advocating, accompanying & supporting those seeking asylum, refugees & those with no recourse to public funds Company Limited by Guarantee and Registered Charity Number 1130363 OISC reference number: N201800021

Part B: obtaining and disclosing data

{form_title}

I (name)	{iname}
Date of Birth	{dateOf}
Of (address)	{ofaddress}
Signed	{signed}
Date	{date}
Please specify other organisations we can contact	{pleaseSpecify}
Signed	{signed13}
Date	{date14}
ProgressBar	{typeA}

Please specify other organisations we can contact

I understand that ViE will only obtain and disclose my data if it is in my best interests and will keep me informed of disclosures that are made on my behalf. I understand that I can withdraw this consent at any time by notifying ViE.

Voices in Exile will not generally disclose any confidential information about you to any other agency without your informed consent. However there may be exceptional circumstances where we are obliged by law to share information about you even without your consent. If we believe that you are or a child is at serious risk of harm, either from yourself or someone else, we will have a legal duty to report this.

Adults cannot sign on behalf of another adult and children who are 13 years or over must sign their own form.

Signed

Clear

Date

Enabling, advocating, accompanying & supporting those seeking asylum, refugees & those with no recourse to public funds Company Limited by Guarantee and Registered Charity Number 1130363

OISC reference number: N201800021