[your email / postal address] Data Protection Unit, Tusla, 6th Floor, The Brunel Building, Heuston South Quarter, St. John's Road West, Dublin 8, D08 X01F, Ireland [date of request] Dear Child and Family Agency, Your office has recently received its original records on a number of Mother and Baby Homes / County Homes / Hospitals / Nursing Homes from the Commission of Investigation into Mother and Baby Homes. This is a Subject Access Request under the Data Protection Acts and Article 15 of the General Data Protection Regulation (GDPR) for + a confirmation that you hold personal data relating to me, + a description of the data, + the purposes for which it is being processed, + a copy of all data you hold / are processing relating to me either on computer or in manual form. The data you hold relating to me is likely to include: + Data processed by the Commission of Investigation into Mother and Baby Homes and certain related matters (MBHCOI). + Correspondence about me, including correspondence associated with the administrative process surrounding my [adoption/detention], and correspondence from my natural [mother / child] enquiring about me. + My medical care records including x-rays, tests, vaccine trials. + My physical condition and circumstances during my early months and years including early life care records. + My physical condition and circumstances before, during and after giving birth. + My natural family members’ names including my natural mother and father’s names (all of which are public records). + [add / delete as appropriate with reference to Section 3 of the Guide] Please note the Court of Justice of the European Union (CJEU) acknowledged in Nowak v Data Protection Commissioner of Ireland (Case C 434/16, 20 December 2017) that information may be linked to more than one individual, but this does not affect each person’s right of access. I also note that deceased individuals do not have a right to data protection under the GDPR and therefore my right of access cannot be restricted based on a deceased person's interests. I have included below as much detail as I am aware of to aid your identification of records which contain my personal data [include relevant dates, times, location or institutional descriptions, your history as you know it here] Please send your response, together with copies of my data in [electronic / written] format, to [insert your postal / email address]. I look forward to receiving your response to this request within one calendar month, in accordance with Article 12(3) of the GDPR. Yours sincerely, [insert your name]