Replacement Access Card 2019/20

was stolen/misplaced
is unusable and am returning same
Process according to the Data Protection Act

A replacement access card will only be issued against payment of the nominal fee of €10.00 (inc. VAT) to the Department of Information.

DATA PROTECTION DECLARATION – Personal information provided on your application form is protected and collected for the sole purpose of issuing an access card. The personal information provided is processed in accordance with the provisions of the Data Protection Act 2001 and the Privacy Policy of the Department, a copy of which is available on demand. It will not be disclosed to any other entity outside this department unless permitted by law. You may write to the Data Controller of this department if you need to know what information is processed about you.

WARNING to all applicants – Any false statement, misrepresentation or concealment of material fact on this form or any document presented in support of this application may be grounds for criminal prosecution.