Request edit access
Data Subject Request Form 

Please use this form to submit a request regarding your personal information to Aurora Operations, Inc. (“Aurora”).  Please review our Privacy Policy for more information about these rights as well as details about Aurora’s collection, use, and disclosure of your personal information.

United States - Please type your state of residence  *
International - Please type your country of residence *
I am making this request on behalf of:

*Additional documentation may be required to verify written authorization to act as an agent.

*

I am making this request in the following capacity:

*
Please select the type of request you would like to make.  Each type of request is described in detail in our Privacy Policy.
*
Please provide the following information so that we can verify your identity and process your request:
First Name *
Last Name *
Email Address *
Address *
Country *
For Requests to Correct only:  Please describe the personal information that you believe is inaccurate and provide us with the accurate personal information that you wish it to be changed to in our records.
I confirm that: *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Aurora Innovation. Report Abuse