FREE POPIA TOOLKIT
SUPPORT TEMPLATE
Data Subject Request Form
1. Personal Information
- Full Name: [Insert Full Name]
- Contact Information: [Insert Contact Information]
- Identification Number (ID)/Passport Number: [Insert ID/Passport Number]
- Date of Birth: [Insert Date of Birth]
- Address: [Insert Address]
- Email Address: [Insert Email Address]
- Phone Number: [Insert Phone Number]
2. Type of Request
Please select the type of request you are making:
[ ] Data Access Request: Request to access personal information held by the organization.
[ ] Data Portability Request: Request to receive personal information in a structured, commonly used, and machine-readable format.
[ ] Data Erasure Request: Request to delete or remove personal information held by the organization.
[ ] Data Rectification Request: Request to correct or update inaccurate or incomplete personal information.
3. Additional Details
Please provide any additional details or specifications related to your request:
[Insert Additional Details]
4. Verification
To protect your personal information and ensure compliance with data protection regulations, we may need to verify your identity before processing your request. Please provide the following information for verification purposes:
- Copy of ID/Passport
- Proof of Address
- Any other relevant documents
5. Signature
By signing below, I acknowledge that I have read and understood the contents of this Data Subject Request Form and confirm my request for the specified action.
Signature: ________________________________
Date: ________________________________
This Data Subject Request Form is designed to facilitate requests from individuals regarding their personal information held by the organization. It allows individuals to specify the type of request they are making, provide additional details if necessary, and includes a section for identity verification to ensure the security and integrity of the request process.
