Privacy Request Form

Exercise your privacy rights under GDPR, CCPA, and other privacy laws. Submit a request to access, delete, or modify your personal information.

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Submit Your Privacy Request

Use this form to exercise your privacy rights. We will respond to your request within the timeframes required by applicable privacy laws (typically 30-45 days).

✅ Request Submitted Successfully
We have received your privacy request. You will receive a confirmation email shortly, and we will respond to your request within 45 days as required by law.

❌ Error Submitting Request
There was an error submitting your request. Please try again or contact us directly.

📋 Personal Information

Full Name *

Email Address *

Phone Number (optional)

Address (optional)

🔍 Request Type

Select the type of privacy request you are making:

Right to Access/Know: Request a copy of the personal information we have collected about you

Right to Delete: Request deletion of your personal information

Right to Correct: Request correction of inaccurate personal information

Right to Data Portability: Request your data in a portable format

Right to Opt-Out (CCPA): Opt-out of sale/sharing of personal information

Right to Limit Processing: Limit how we process your personal information

📝 Additional Information

Request Details

Applicable Privacy Law

Identity Verification

✅ Consent & Verification

I confirm that the information provided in this form is accurate and complete to the best of my knowledge.

I understand that we may need to verify my identity before processing this request, which may take additional time.

I consent to receiving communications related to this privacy request via email.

By submitting this form, you acknowledge that we will process your request in accordance with applicable privacy laws.