Impact Assessment Details
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DPIA recording form.

DPIA Logged: 03/04/2025
Project Name:
Assessment by:
Job Title:
Phone No:
E-Mail:
Summary:

If you answer “yes” or “unsure” to any of the screening questions below, you will need to undertake a DPIA. You may find it helpful to seek assistance from the Data Protection Officer to help you with the process.

DPIA Privacy Concerns:
DPIA New Information:
DPIA Repurposing of information:
DPIA Intrusive contact:
DPIA New disclosures:
DPIA New technology:
DPIA Significant impact:
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