State or Country of Residence Please do not submit this form unless you are a resident of California (USA), Australia, Canada, a European Union Member State, New Zealand, Switzerland, Texas (USA) or the United Kingdom. For more information about your data rights, please visit our Privacy Policy at: https://syncromsp.com/privacy-policy/

I am submitting this request on behalf of:

First Name

Last Name

E-mail Address If we cannot confirm your identity using the information you provided, we will contact you for additional information. If we are unable to verify your identity, we may be prohibited from fulfilling your request.

Telephone Number

Authorized Agents YesNo I am an Authorized Agent (only select “YES” if you are submitting this for someone else). An “Authorized Agent” is a natural person (or, under the California Consumer Privacy Act, as amended, a business entity registered with the Secretary of State) that an individual has authorized to act on their behalf subject to requirements set forth in the applicable data protection law. A member of our team will contact you to provide proof of authorization to act on the individual’s behalf.

Parents or Guardians YesNo I am a parent or legal guardian (only select “YES” if you are submitting this request on behalf of a minor child for whom you are the parent or guardian). A member of our team will contact you to verify that you are the parent or guardian of the child identified.

Name (first and last)

E-mail Address

Telephone Number

I, or the individual I am submitting this request on behalf of, am/is a/an:

Request Type

Please let us know what information you are requesting: We will comply with your request to know about our use of your personal information or request to access your information unless the request is outside the scope of applicable privacy laws, is otherwise exempt from disclosure, or we cannot confirm your identity. Note that certain data privacy laws prohibit us from disclosing any sensitive information such as Social Security Numbers, driver’s license numbers, or other government-issued identification numbers, financial account numbers, and account password and/or security questions and answers.

Please describe the information you are requesting in 180 words or less.

Please describe the information to be corrected. When you submit a request to correct, we will correct the personal information that we have collected about you in the manner requested. Please note that the right to correction under the law is not absolute. We may deny your request if we determine that the contested personal information is more likely than not accurate based on the totality of the circumstances if we have denied a request to correct the same alleged inaccuracy in the past 6 months. You have not provided additional documentation to support the request, or if we have a good faith, reasonable, and documented belief that the request is fraudulent or abusive. Note that we may request further documentation to support your request before we can fulfill your correct request.

Please describe the previously submitted consumer request that Servably did not act upon and provide any applicable information or supporting documentation provided in connection with the initial request. When you submit an appeal to a previous request response from Servably, we will review the appeal in connection with the original request, and we may contact you for additional information. After completing our internal process and review, we will provide you with notice of any action taken or not taken in response to your appeal request.

Comments

By submitting this webform, you confirm that the information provided is true and accurate. You acknowledge that the information submitted is being used by Servably, Inc. for purposes of verification, and retained for purpose of record-keeping and audits.