Subject Access Request (External) Form: v1
1
Please complete the subject access request form below and email to
dataprotection@liminalbiosciences.com along with a copy of proof of ID. Proof of ID can include
passport, driving license, birth certificate or national ID card. The organization will respond within one
calendar month starting from the day after receipt of this request. If the request is complex, we may
take up to three calendar months to respond, however if this is the case Liminal BioSciences Inc. will
inform you of the extension within the initial one-month period. If Liminal BioSciences Inc. finds the
request to be manifestly unfounded or excessive, we may charge an administration fee.
Section 1: Applicant Information
Title: Forename:
Middle Name: Surname:
Address:
Post Code:
Company Name (if applicable):
Contact Telephone Number:
Email Address:
Section 2: Request Information
What information/change to details are you requesting?
Please use this space to give us any details about the information you are requesting, for example by
stating specific documents you require (use extra sheets if necessary):
Example: My account history from 2014 to 2017 held by the sales and marketing team at
Liminal BioSciences Inc.
Please explain the information/change to details?
Subject Access Request (External) Form
