HighLevel Data Deletion Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

You may be entitled to request that HighLevel erase any personal data that it holds about you. We will make reasonable efforts to promptly respond to such requests. In any event, we will respond within one month of (i) our receipt of your written request, or (ii) our receipt of any further information we may ask you to provide to enable us to comply with your request (whichever is later).

The information you provide in this form will only be used for the purposes of (i) identifying the personal data you are requesting that we erase and (ii) responding to your request.

Email *

Record my email address with my response

1. Personal Data

Full Name: *

Address:
*

Phone Number:

(xxx-xxx-xxxx)

Email Address:
*

Sub-Account to Delete Data From: *

2. Are you the data subject? Please check one: *

To ensure we are erasing data of the right person, we require you to provide us with proof of your identity and of your address. Please supply us with a photocopy or scanned image (do not send originals) of one or both of the following:

Proof of Identity (examples: passport, photo ID, national identity card, birth certificate)
Proof of address (examples: utility bill, bank statement, credit card statement (no more than 3 months old), current driver’s license)

Yes, I am the data subject, and I have enclosed proof of my identity (see above for instructions on submitting proof of identify)

No, I am making this request on behalf of the data subject, and I have enclosed the data subject’s written authority and proof of the data subject’s identity and my own identity (see above for instructions

3. Details of the data subject (if different than the requestor)

Full Name:

Address:

Phone Number:

Email Address:

4. Reason for Erasure Request *

Given the sensitive nature of erasing personal data, GDPR Article 17(1) requires certain conditions to be met before a request may be considered. Please supply us with the reason you wish your data to be erased, and please attach any justifying documents. Check the appropriate box:

You feel your personal data is no longer necessary for the purposes for which we originally collected it

You no longer consent to our processing of your personal data

You object to our processing of your personal data as is your right under Article 21 of the GDPR

You feel your personal data has been unlawfully processed

You feel we are subject to a legal obligation of the EU or Member State that requires the erasure of your personal data

You are a child, you represent a child, or you were a child at the time of the data processing, and you feel your personal data was used to offer you information society services

5. What Information Do You Wish to Erase?

Please describe the information you wish to erase. Please provide any relevant details you think will help us to identify the information. Please note that in certain circumstances where erase would adversely affect the freedom of expression, contradict a legal obligation, act against the public interest in the area of public health, act against the public interest in the area of scientific or historical research, or prohibit the establishment of a legal defense or exercise of other legal claims, we may not be able to erase the information you requested in accordance with article 17(3) of the GDPR. HighLevel reserves the right to charge a fee or refuse the request if it is considered to be manifestly unfounded or excessive.

6. Declaration
*

I confirm that I have read and understood the terms of this HighLevel Data Deletion Request Form, and I certify that the information given in this application is true. I understand that it is necessary for HighLevel Inc. to confirm my/the data subject’s identity, and it may be necessary to obtain more detailed information in order to locate the correct personal data.
Please enter your name:

Signature Date:

YYYY

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of HighLevel.

Does this form look suspicious? Report

Forms