GDPR

GDPR Data Subject Request Form

If you are a resident of the European Economic Area (EEA), the United Kingdom (UK), or Switzerland, you may be able to exercise certain data rights under the General Data Protection Regulation (GDPR), including the right to request additional information relating to our collection and disclosure of the specific pieces of your personal data (“Right to Access”), the right to request a copy of the personal data you have provided us, in certain circumstances (“Right of Portability”), the right to request deletion of personal data we have collected from you, subject to certain exceptions (“Right to Erasure”), the right to request the correct of personal data (‘Right to Rectification”), the right to limit the purposes for which we process personal data, in certain circumstances (“Right to Restriction”), and the right to withdraw consent to the processing of personal data (“Right to Withdraw Consent”). Please complete this form to submit your request to exercise your rights under the GDPR. For more information regarding this right and additional rights you may have under the GDPR, please see our European Privacy Disclosures.

Due to the confidential nature of data processing, we may ask you to provide proof of identity when exercising the above rights.

Are you submitting this request on your own behalf?

Select which of the following rights you wish to exercise:

Complete the following fields using the consumer’s information.

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Authorized agents only

If you’re an Authorized Agent submitting a request on behalf of a consumer, you must attach written authorization from the consumer indicating you’ve been authorized to submit a request on their behalf. The form must be signed by both parties. All forms not signed will be rejected.

Maximum file size 50 MB

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