Data Subject Access Request (DSAR) form

What is your full name as it would appear in our system? *

First Name

Last Name

I am submitting this information on behalf of: *

Myself

Someone Else

What is the reason of your request? *

Get a copy of my personal information

Edit or correct my personal information

Restrict the processing of my personal information

Delete all my personal information

I confirm the following: *

Under penalty of perjury, I declare all the above information to be true and accurate.

I am the consumer of the above app and website or the agent authorized by the consumer to make this request on their behalf.

I understand that the deletion or restriction of my personal information is irreversible and may result in the termination of services with the above app and website.

I have read and agree to the privacy policy and I understand that I will be required to validate my request by email and I may be contacted in order to complete the request.