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PRIVACY REQUEST FORM
Gladiola Quintanilla
2024-10-21T14:42:27+00:00
YOUR PRIVACY CHOICES
PRIVACY REQUEST FORM
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*
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DNA Complete (“DNA Complete”) takes our obligation to protect your data very seriously. In order to process your data request, we need some basic information from you. The information requested in this form is essential to DNA Complete’s efforts to determine the appropriate course of action in response to your request.
Complete this Privacy Request Form to exercise your privacy rights, as allowed by local laws.
Please read our
Privacy Policy
for details about your privacy rights.
You may also exercise your privacy rights by contacting us at
support@DNAComplete.com
.
Please note: Depending on the data you supply and the type of request you are making, we may need to request additional information from you for verification purposes. If we are unable to verify your identity we may not be able to share the data you have requested.
This form is intended for residents of the United States.
Who is making this request?
*
I am
A (an)
A (an)
*
I would like to :
*
Privacy Policy
Know what Personal Information was Collected
Access my Personal Information
Correct my Inaccurate Personal Information
Delete my Personal Information
Limit The Use Of Sensitive Personal Information
Name
*
First
Last
Phone
*
Email
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Are you making this request on behalf of another individual?
*
No, I am submitting on my own behalf
Yes
Please provide your name, email address, phone number, and mailing address.
Full Name
*
Email
*
Phone
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Describe your relationship with the individual on whose behalf you are making the request:
*
I am the legal parent/guardian and the individual is under 18.
I have legal authority to act on behalf of this individual.
The individual has authorized me to act on their behalf via a signed document.
Describe:
*
PLEASE NOTE
After you submit this form, we will send a confirmation message to the email address you provided above. Please ensure that you have access to this email address before clicking Submit. This email message will ask you to confirm your identify before we can process this request.
Please read and select the applicable option below:
*
I declare under penalty of perjury that I am the individual whose personal information is the subject of the request or that I have the legal authority to submit this request on behalf of another person (as noted above).
Comments
This field is for validation purposes and should be left unchanged.
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