Nominating a third party to act on your behalf

Sometimes you may want someone else (a third party) to speak for you or act on your
behalf, for example, a relative, a friend or a representative, such as a support worker.

To keep your personal data safe, this form asks for your specific consent before we can disclose
any of your personal information to a third party. You and the third party are asked to sign
separate declarations at the end of this form.

You can find out more about how we process personal information in our Customer Privacy Notice here. 

Please note: a third party cannot make decisions or take action on your behalf which has legal consequences e.g. ending your tenancy. For this to happen, you’ll need to give another person the appropriate type of power of attorney: either ‘Health and Welfare’ or ‘Property and Financial Affairs’, or both types. Further details can be found here.

1. Your details
2. Third party's details
3. Contacting Curo
Tick all that apply: I agree to my third party contacting Curo (and where necessary, I consent to Curo disclosing my personal information to the third party) in relation to:








4. Contact from Curo - Tick all that apply:
I request Curo to contact my third party (via phone and/or email), rather than myself, about the issues I have ticked above*. In order to do this, and where necessary, I consent to Curo disclosing my personal information to my third party. *Please note, for any issues not ticked, we will need to contact you directly.


I consent to all letters** from Curo being sent to my third party, rather than to myself. **Please note this will not include legal notices that Curo is obliged by law to serve on you.


5. Your consent:
6. Your declaration:
7. Third party declaration:

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