PolicyRate4You - Privacy Rights Request Webform

You may have rights with respect to the personal data maintained by Policy Rate 4 You, subject to certain jurisdiction specific requirements and subject to certain exceptions and limitations.

You may use this webform to submit a privacy request as described in our Privacy Policy . We may request additional information needed to verify your identity and complete your request. If you wish to exercise certain opt-out rights available to you, please visit our opt-out page.

For more information about our personal data practices, please view our Privacy Policy.

Please complete all the fields below:

First Name

Last Name

Email Address

Phone Number

Zip Code

I Would Like to Submit the Following Request(s) Restrict or Object to Processing of Personal Data Correct Personal Data Delete Personal Data Confirm or Know Personal Data Request to Receive a Portable Copy of Personal Data

Are You the Consumer?

Yes, I am making a request related to personal information about me.

No, I am acting as an authorized agent for the consumer. I understand that the request cannot be processed without submitting a written, signed permission from the consumer to [email protected] as proof of your authorization.

By clicking “Submit,” I hereby certify that the information I have provided is true and accurate, and that I am the consumer whose name appears above and to whom the personal information that is the subject of this request relates or that I am legally authorized by that consumer to submit this request on his/her behalf. I understand that it may be necessary for Policy Rate 4 You to verify the identity of the consumer and/or authorized agent for this request, and additional information may be requested for this purpose.

Privacy Rights Request Webform

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