[your email / postal address] Data Protection Officer, Department of Children, Equality, Disability, Integration and Youth, Block 1, Miesian Plaza, 50 – 58 Lower Baggot Street, D02 XW14 Dublin [date of request] Dear Department of Children, Equality, Disability, Integration and Youth, The archive of the Commission of Investigation into Mother and Baby Homes has been transferred to your Department. 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 in the Archive, and + 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]