Privacy Rights Request Form
We will respond to your request within 45 days. In some cases we may extend this period by an additional 45 days. DITA will not discriminate against you for exercising your privacy rights.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Order Number (if applicable — not required if you are not a customer)
Relationship to DITA
*
Please Select
Customer
Former Customer
Employee
Former Employee
Job Applicant
Other
Type of Privacy Request (select all that apply)
*
Right to Know/Access
Right to Delete
Right to Correct
Right to Opt-Out of Sale/Sharing
Right to Limit Use of Sensitive Personal Information
Right to Data Portability
Description of Request
*
State/Country
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Outside the United States
Are you submitting this request on behalf of another person?
*
Yes
No
Agent Full Name
First Name
Last Name
Agent Relationship
Please Select
Parent/Guardian
Legal Guardian
Power of Attorney
Other
Consumer Full Name
First Name
Last Name
Verification
*
I confirm I am the consumer whose personal information is the subject of this request, or their authorized representative.
Submit Request
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