Data Subject Access Request Form for Example.com

Please fill out the form below. The website administrator will be notified about your request in 24 hours and will need an appropriate amount of time to respond. 

Enter your contact information

What email address do you use to access the above website / app?

You are submitting this request as

You are submitting this request as
A
B
C

Under the rights of which law are you making this request?

I am submitting a request to ___________

I am submitting a request to ___________
A
B
C
D
E
F

Please leave details regarding your action request or question.

I confirm that

I confirm that