Data Subject Request Form

1) CONTACT INFORMATION:

Full Name:

Email Address:

If applicable, US State:

2) WHAT IS YOUR RELATIONSHIP WITH US?

User

Partner

Employee

Non-User

Vendor

Other:

3) YOUR REQUEST:

Detailed below are various rights and requests you may submit depending on your residence. Please check the applicable right you are requesting to execute.

Right to be Informed;

Right to Know or Access;

Right to Deletion (the right to delete is not absolute and in certain cases we will have the lawful right to maintain the Personal Data);

Right to Restriction of Processing;

Right to Withdraw Consent;

Right to Data Portability;

Right to Non-Discrimination;

Right to Rectification;

Right to Limit the Use and Disclosure of Sensitive Personal Information;

Right to Opt-Out of Sale;

Right to Opt-Out of Share for Cross-Contextual Behavioral Advertising;

Opt-Out of the Use of Automated Decision Making; or

Other.

Help Us to Help You!

Please provide any additional relevant information about your request.

Provide as much detail as possible, such as relevant dates, references, etc. For further information regarding the rights of individuals in relation to their personal data, please see our Privacy Policy.

Verification of Identity

This page is a template for your own website policies. Replace this sample wording with information about your business, the services you offer and the way your website handles visitor information. Describe the relevant process clearly and include a contact method that your team monitors. Review this content before publishing your website. This page is a template for your own website policies.