FREE POPIA TOOLKIT
SUPPORTING TEMPLATE
Data Rectification Request Form
Introduction:
The Data Rectification Request Form allows data subjects to request the correction or rectification of inaccuracies in their personal data held by [Your Organization Name], in compliance with the Protection of Personal Information Act (POPIA). This form enables [Your Organization Name] to efficiently handle and respond to data rectification requests while ensuring compliance with data protection regulations.
Request Details:
Requester Information:
- Full Name: [Placeholder]
- Email Address: [Placeholder]
- Phone Number: [Placeholder]
- Address: [Placeholder]
Description of Request:
- [Brief Description of Data to be Rectified]
Additional Information:
- [Any Additional Details Provided by the Requester]
Verification:
To ensure the security and accuracy of personal data, [Your Organization Name] may require verification of the requester’s identity. Please provide the following information for verification purposes:
- Date of Birth: [Placeholder]
- Identification Document Type: [ID/Passport/Driver’s License]
- Identification Document Number: [Placeholder]
- Any Additional Information: [Other Information for Verification]
Signature:
I, [Requester’s Full Name], hereby certify that the information provided in this Data Rectification Request Form is true, accurate, and complete to the best of my knowledge.
Signature: [Signature Field]
Date: [Date]
The Data Rectification Request Form streamlines the process for data subjects to exercise their rights under POPIA and enables [Your Organization Name] to fulfill its obligations regarding data rectification requests. By promptly responding to such requests and correcting inaccuracies in personal data as required by law, we demonstrate our commitment to transparency and data protection compliance.
