WestCare Data Subject Access Request Form
Submit your request regarding your personal data rights. This form helps you request access or deletion of your personal information.
What is your full name?
*
First Name
Last Name
What WestCare-related website does your request relate to?
*
Example: westcare.com
What is the email address you use to access the above website?
*
Example: name@domain.com
I am submitting this information on behalf of:
*
Myself
Someone else
What is the reason of your request?
*
Get a copy of my personal information
Delete all my personal information
I confirm the following:
*
Under penalty of perjury, I declare all the above information to be true and accurate.
I am the consumer of the above website or the agent authorized by the consumer to make this request on their behalf.
I understand that the deletion of my personal information is irreversible and may result in the termination of services with the above website.
I have read and agree to the privacy policy and I understand that I will be required to validate my request by email and I may be contacted in order to complete the request.
Submit
Should be Empty: