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Data Subject Request Pack – Document Builder 👷‍♂️

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Data Subject Request Pack – Step 1 of 7

Country *

Language of the completed document *

State/Province/Region *

City (optional)

🧾 Request Type(s)

Choose which data subject rights you are exercising.

Select request type(s) *

Access (copy of personal data)
Rectification (correct data)
Erasure (delete data)
Portability (export data)
Objection (stop processing)
Restriction (limit processing)

Brief summary of your request *

Request Date *

👤 Requester Details

Who is making this request and how can we contact you?

Requester Full Legal Name *

Requester Email *

Requester Phone (optional)

Requester Address (optional)

Are you the data subject? *

If authorized agent, describe authority (optional)

🏢 Organization Details

Identify the organization you are contacting (controller/service provider) and the relationship.

Organization / Controller Legal Name *

Website / App / Service Name (optional)

Account Username / Email used with service (optional)

Customer / Account ID (optional)

Relationship to organization *

If 'Other', describe (optional)

🗂️ Scope of Personal Data

Help locate the relevant data and processing activities.

Data categories involved (select all that apply)

Contact details (name, email, phone)
Account identifiers (username, IDs)
Billing/payment info
Order/service history
Device/online identifiers (IP, cookies, device ID)
Communications (emails, chats, support tickets)
Location data
Marketing preferences
Employment/HR records
Sensitive data (health, biometrics, minors, etc.)
Other

Other data categories (optional)

Relevant time period (optional)

Where the data may be located (optional)

Preferred response format *

If 'Other', describe (optional)

🛡️ Verification & Attachments

Provide information to verify identity (where required) and attach supporting documents.

Identity verification provided? *

Upload supporting documents (optional)

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

Notes on redactions / verification (optional)

Do you want copies sent to an additional email? *

Additional email (optional)

✍️ Sign & Submit

Confirm details are accurate and electronically sign this request.

Acknowledgements (must check all) *

I confirm the information in this request is accurate to the best of my knowledge
I understand additional verification may be required
I understand legal exceptions may apply and some data may be withheld as permitted by law

Typed Signature (Requester) *

Signature Date *

Email

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