Privacy Request Form

Revalize, Inc. and its affiliates (“Revalize”) values the privacy and security of our customers and suppliers. The following form is being made available to you as a resident of the United States. If you are resident of the European Economic Area, Switzerland or the United Kingdom, please refer to this page for more information on exercising your rights under applicable data protection laws.

If you are requesting access to the specific pieces of information that Revalize processes about you, we may need to authenticate your identity before proceeding with your request, which may include instructions to submit identity credentials through a secure form. We expect to respond to your request within one month of receipt of proof of identity.

Personal Information Details

Name

Phone

Address

City

State

Zip

Select the reason for your request

I am requesting access to the specific pieces of personal information held by Revalize I am requesting modification of the personal information held by Revalize I am requesting deletion of the personal information held by Revalize I am requesting to opt-out of the ‘sale’, ‘sharing’ or ‘use of my personal information held by Revalize for third party targeted or cross-contextual behavioral advertising purposes (as defined by specific state laws) I am completing this request on behalf of a data subject. If checked, please complete the details below.

Requests Made on a Data Subject's Behalf

Please complete this section of the form with your name and contact details if you are acting on the data subject’s behalf.

Name

Date of Birth

Address

City

State

Zip

In order to process this third party request, we will require additional information from you to help confirm your legal authority to act on the data subject’s behalf, such as a written consent signed by the data subject, a certified copy of a power of attorney, or evidence of parental responsibility. Please respond to the email request and instructions to provide this information.

Applicable law may allow or require us to refuse to provide you with access to some or all of the personal information that we hold about you, or we may have destroyed, erased, or made your personal information anonymous in accordance with our record retention obligations and practices. If we cannot provide you with access to your personal data, we will inform you of the reasons why, subject to any legal or regulatory restrictions.