Data Subject Access Request Form
Please fill in the information below. The website administrator or data protection officer will be notified of your request within 24 hours, and will need an appropriate amount of time to respond.
Name
First Name
Last Name
Email
example@example.com
You are submitting this request as:
The parent/guardian of the person, whose name appears above.
An agent authorized by the consumer to make this request?
Neither
Under the rights of which law are you submitting this request?
I am submitting this request to ________________
Know what information is being collected from me; or
Have my information deleted; or
Opt out of having my data sold to 3rd parties; or
Other (please specify in the comment box below)
OTHER
I confirm that:
Under penalty of perjury, I declare all the above information to be true and accurate.
I understand that the deletion or restriction of my personal data is irreversible and may resultin the termination of services with My Great New Website / App.
I understand that I will be required to validate my request by email, and I may be contactedin order to complete the request.
Submit
Should be Empty: