Personal Data Rights Request Form - PSafe
PSafe is committed to ensuring the privacy, protection of personal data, and information security of our clients, employees, and partners, in compliance with the Data Protection Law. Ensuring privacy and protection of personal data is a core value for us, emphasizing the importance of life.

General Guidelines:

We provide this form to facilitate the exercise of your rights as outlined in the General Data Protection Regulation (GDPR).

Please note that the use of this form is optional, but it proves to be an efficient and secure way to process your request.

If you have any questions regarding this form or your rights as a Personal Data Subject, please contact us via email at dpo@psafe.com.

In case the civil identity document is not attached to this form, PSafe may request additional information from the data subject to fulfill the request and prevent any potential information security incidents that may adversely affect the requester.
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Rights of the Personal Data Subject: Which of the rights below would you like to exercise?  Please indicate below which of your rights you would like to exercise, and subsequently, provide details of your request so that we can assist you. If you wish to make more than one request, please fill out another separate form. *
To assist PSafe in responding to your request quickly and efficiently, we kindly request that you provide specific periods, times, dates, names, types of documents, or any other relevant information concerning the request. 
Please note that PSafe reserves the right to contact you or the representative for additional information, if the request is not sufficiently clear.
Full name of the personal data subject
*
SSN (Social Security Number) of the personal data subject *
Address of the personal data subject
Date of Birth of the personal data subject
MM
/
DD
/
YYYY
Contact Phone of the personal data subject
Email for Contact with the Subject / Representative *
Category of the personal data subject
Additional Information (any additional information that may help us locate your personal data):
Is the request made through a representative?
*
Identity Verification of Personal Data Subject
In order to ensure the rights and security of personal data subjects, after submitting the request, you will receive an email requesting photo identification documents to verify that the requester is the actual Personal Data Subject.

This proof can be a copy of an official identification document or another acceptable method that confirms the identity of the requester.

This measure is taken to ensure confidentiality and prevent the sharing of information with unauthorized third parties.

If the identity document is not sent via email, PSafe may contact you to request additional information in order to fulfill the aforementioned request.

In the event that you do not provide the requested documents, proving that you are who you claim to be, PSafe will be unable to fulfill your request.

If you are making the request on behalf of a third party (Proxy / Legal Representative)

If this Personal Data Subject rights request is made through a Proxy or Legal Representative, the requester must respond to the received email by sending the identification document of the Data Subject in question and also documentation proving the powers of representation as a Proxy/Legal Representative.

For legal purposes, documents suitable to prove this representation include a signed power of attorney or documentation proving the relationship or power of representation.

If the requested documents are not submitted, we will be unable to respond to your request.
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