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Data Subject Access Request Form
Website
Your Name
(Required)
First
Last
What email address do you use to access the above website?
(Required)
You are submitting this request as:
(Required)
The person, or the parent / guardian of the person, whose name appears above.
An agent authorized by the consumer to make this request on their behalf.
Under the rights of which law are you making this request?
(Required)
Please select one
GDPR
CCPA
CPA
CTDPA
UCPA
VDCPA
OTHER
I am submitting a request to:
(Required)
Know what information is being collected from me
Have my information deleted
Opt out of having my data sold to third parties
Opt in to the sale of my personal data
Access my personal information
Fix inaccurate information
Receive a copy of my personal information
Opt out of having my data shared for cross-context behavioral advertising
Limit the use and disclosure of my sensitive personal information
Other (please specify in the comment box below)
I am submitting a request to:
(Required)
Confirm that my personal information is being processed
Access my personal information
Edit / correct my personal information
Have my personal information deleted
Restrict the processing of my personal information
Ask a question about My Great New Website / App's privacy policy
Withdraw my consent to the processing of my personal information
Deny My Great New Website / App the right to use my personal information for purposes of direct marketing, including profiling
Other (please specify in the comment box below)
I am submitting a request to:
(Required)
Know what information is being collected from me
Have my personal information deleted
Opt out of having my data sold to third parties
Opt out of data processing for targeted advertising
Opt out of data processing for profiling
Access my personal information
Fix inaccurate information
Appeal a data request decision
Other (please specify in the comment box below)
I am submitting a request to:
(Required)
Know what information is being collected from me
Have my personal information deleted
Opt out of having my data sold to third parties
Opt out of data processing for targeted advertising
Opt out of data processing for profiling
Access my personal information
Fix inaccurate information
Appeal a data request decision
Other (please specify in the comment box below)
I am submitting a request to:
(Required)
Know what information is being collected from me
Have my personal information deleted
Opt out of having my data sold to third parties
Opt out of data processing for targeted advertising
Access my personal information
Other (please specify in the comment box below)
I am submitting a request to:
(Required)
Know what information is being collected from me
Have my personal information deleted
Opt out of having my data sold to third parties
Opt out of data processing for targeted advertising
Opt out of data processing for profiling
Access my personal information
Fix inaccurate information
Appeal a data request decision
Other (please specify in the comment box below)
Please leave details regarding your action request or question.
I confirm that:
(Required)
Under penalty of perjury, I declare all the above information to be true and accurate.
Consent 2
(Required)
I understand that the deletion or restriction of my personal data is irreversible and may result in the termination of services with BackThisProject.com Website / App.
Consent 3
(Required)
I understand that I will be required to validate my request by email, and I may be contacted in order to complete the request.
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