Privacy Rights Request

Your privacy is important to us. This webform allows you to submit privacy requests to us online. Please complete the following to submit a privacy request to us:

Question Title

* 1. I am a(n): Please select one below

Current/Former Employee

Applicant/Candidate

Vendor/Company Contact

Authorized Agent

Other (please provide details in the 'provide details' section below)

Question Title

* 2. I would like to make the following request (please select one):

I want to know information about my data that your company holds or has collected

I want access to a copy of my data

I want to delete my data

I want to opt out of email, text and/or another communication from your company as specified by me below in the 'provided details' box

Question Title

* 3. Please provide details regarding your request above.

Question Title

* 4. Contact Details of Individual Making Privacy Right Request*

Name

State/Province

ZIP/Postal Code

Email Address

*The information you supply in this form will only be used for purposes of verifying your identity, identifying your Personal Information, and responding to your request. For more information about our privacy and data protection practices, please visit the General Privacy Policy on our website.

Question Title

* 5. Contact Details of Authorized Agent (if different from the above)*

Name

State/Province

ZIP/Postal Code

Email Address

Question Title

* 6. If you are an authorized agent, what is your relationship to the individual whose Personal Information you are requesting:

Question Title

* 7. If you are an authorized agent, what evidence to act on behalf of the individual whose Personal Information you are requesting (please select one which may be requested from you):

Affidavit

Legal Guardian

Power of Attorney

Other

Question Title

* 8. Acknowledgement

Agree

By accepting, I certify that the information provided in this form is true and accurate. I understand that the Personal Information I provide will be used solely to process my request and to provide me with a response. I further understand that it may be necessary for me to provide additional information to confirm my identity before a final response to my request is given. I understand that my rights are not absolute and that in certain circumstances, my request may be denied.