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Data Subject Request Form Template for United States

A Data Subject Request Form is a standardized document used in the United States to facilitate individuals' requests regarding their personal data under various privacy laws including CCPA, CPRA, VCDPA, CPA, UCPA, and CTDPA. The form enables data subjects to exercise their rights such as access, deletion, correction, or portability of their personal information, while ensuring proper documentation and verification of the request.

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What is a Data Subject Request Form?

The Data Subject Request Form serves as a crucial tool for organizations to comply with U.S. privacy regulations while managing individuals' requests regarding their personal data. This document is essential for businesses subject to state privacy laws such as CCPA/CPRA, VCDPA, CPA, UCPA, and CTDPA, as well as sector-specific regulations like HIPAA, GLBA, and FERPA. The form standardizes the process of receiving, verifying, and responding to data subject requests, helping organizations maintain compliance while protecting individuals' privacy rights.

What sections should be included in a Data Subject Request Form?

1. Personal Information: Collection of data subject's identification details including name, contact information, and any reference numbers

2. Request Type: Selection of the type of data subject request (access, deletion, correction, portability, restriction of processing)

3. Request Details: Detailed description of the specific information or action being requested

4. Verification Section: Identity verification requirements and process to confirm the requestor's identity

5. Declaration: Statement of truth and signature section confirming the accuracy of provided information

What sections are optional to include in a Data Subject Request Form?

1. Authorized Agent Details: Section for providing information when request is made by an authorized representative on behalf of the data subject

2. Specific Data Period: Section to specify the timeframe for which data is being requested

3. Format Preference: Section to indicate preferred format for receiving requested information (electronic, paper, etc.)

What schedules should be included in a Data Subject Request Form?

1. Schedule A - Identity Verification Documents: List of acceptable identity verification documents and requirements

2. Schedule B - Privacy Notice: Information about how the request data will be processed and handled

3. Schedule C - Authorization Form: Template form for documenting authorized agent permissions when applicable

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok成人版 | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

Jurisdiction

United States

Cost

Free to use

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