Create a Data Subject Access Request Form in Minutes

The Data Subject Access Request form allows your users to contact you in regards to handling their personal information. It is required by CCPA, GDPR and other international regulations.

DSAR form settings

Check the following items if they apply to you:

Our target audience or users may include residents of California (required for the CCPA compliance).

We may disclose or sell some or all of the personal information to third parties.

Our target audience or users may include residents in the European Union (required for the GDPR compliance).

We may use personal information for direct marketing or creating consumer profiles.

Data subject access request form

What is your full name?

What is your last name?

What is the email address you use to access the above website or app?

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

Allow the use of my personal information for marketing or profiling

Deny the right to use my personal information for marketing or profiling

Allow the disclosure and sale of my personal information to third parties

Deny the right to have my personal information disclosed or sold to third parties

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 website or app 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 website or app.

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.

Sample Data Subject Access Request (DSAR) form

DSAR form settings

Data subject access request form