Privacy Request Form

Section 1: Request Type

Personal Data Access

Forget Me (Data Deletion)

Data Correction

Section 2: Contact Information

Full Name

Email Address

Phone Number *

Section 3: Verification

Allowed Verification Documents:

To verify your identity, please upload one or more of the following documents: a government-issued ID (driver's license, passport, or state ID), a recent utility bill or address document, or any additional identifying information that helps us confirm your identity. Accepted formats include PDF, PNG, JPG, and JPEG files.

📎 Click to upload verification documents (PDF, PNG, JPG)

Section 4: Details of Your Request

Describe details related to access, deletion, or correction:

Section 5: Additional Information (Optional)

Additional Information:

Section 6: Consent and Declaration

I consent to have my information processed for this request. *

I understand certain legal exceptions may apply. *

Section 7: Declaration and Signature

Digital Signature (Full Name) *

Date *