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Authorisation to Act

I, hereby authorise Citizens Advice Richmond and to take up enquiries and/or act on my/our behalf (This includes authorisation for all processes relating to; applications, reconsiderations, appeals, disputes, negotiations and representation) regarding;

I also authorise Citizens Advice Richmond to supply to the aforementioned persons/ organisations; and the aforementioned persons/organisations to supply Citizens Advice Richmond, with any information, documentation and updates in relation to this case and disclosure of any information covered by the Data Protection act and GDPR Regulations 2018.

These authorities include Special Category Data, for which I authorise disclosure of:

Health Condition . Ethnicity . Religion Sexual Orientation . Trade Union Membership

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Timestamp

Audit

20th July 2021 9:02 am GMT

3rd Party - General FOA Uploaded by Bradley Johnson - Advice@citizensadvicerichmond.org IP 86.14.100.67

5th August 2021 8:41 am GMT

Confirmation of Document Sent - advice@citizensadvicerichmond.org added by Bradley Johnson - Advice@citizensadvicerichmond.org as a CC'd Recipient Ip: 86.14.100.67