Select Committee on Standards and Privileges Third Report


Annex H

Form of Nomination of Main Residence for the purpose of the Additional Costs Allowance

A copy of the form used by the Department of Finance and Administration is reproduced overleaf.

  . . . . /

NOTIFICATION OF MAIN RESIDENCE AND OF INTENTION TO CLAIM ACA

IN EITHER LONDON OR THE CONSTITUENCY

I hereby notify the Fees Office that my main residence is:-


ADDRESS:





POST CODE:


And that it is my intention to claim ACA in LONDON / CONSTITUENCY




SIGNED:  

NAME IN CAPITALS:  

CONSTITUENCY:  

DATE:  

DATA PROTECTION NOTICE

WE ARE REQUIRED TO KEEP THIS INFORMATION UNDER THE RULES GOVERNING PAYMENTS MADE FROM THE ADDITIONAL COSTS ALLOWANCE. THIS

 INFORMATION WILL ONLY BE SEEN BY STAFF OF THE FEES OFFICE WHO PROCESS MEMBERS' ADDITIONAL COSTS ALLOWANCE CLAIMS AND TRAVEL CLAIMS, AND

STAFF FROM THE NATIONAL AUDIT OFFICE. THIS INFORMATION WILL BE KEPT

 FOR SO LONG AS IT IS ACCURATE AND YOU CONTINUE TO CLAIM THIS

ALLOWANCE. IF YOU HAVE ANY CONCERNS OVER THE HANDLING OF YOUR INFORMATION PLEASE CONTACT THIS DEPARTMENTS DATA PROTECTION

OFFICER ON 020 7219 3659, WHO ACTS ON BEHALF OF THE DATA CONTROLLER,

THE CLERK OF THE HOUSE.





 
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