Lucky Orange : Data Subject and Consumer Access Request Form

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Welcome! Please complete this form to submit a request and we will respond as soon as possible. Thank you.

Under the General Data Protection Regulations (GDPR), you can ask to see personal information that we hold about you. We have designed this form to make the process as easy as possible. This form is required to present your request in a structured way that will help to speed up the process of retrieving and providing us the required data to respond to your request. You can also use this form to request personal information about someone else, provided you have written authority.

In all cases, Lucky Orange is required to respond within thirty (30) days of receiving your fully completed request under GDPR and forty-five (45) days under the CCPA, either with the information requested or with an explanation of any delays or reason why we are unable to fulfill your request. If the request is unclear or excessive, Lucky Orange can request a reasonable fee for administration costs. In order to verify your request, Lucky Orange may require a valid form of identity.

To prevent yourself from being tracked in the future, please go to our privacy management tool at https://privacy.luckyorange.com/, and click ‘Do not track me”.

For further information, please visit https://ico.org.uk and https://oag.ca.gov/privacy/ccpa

Email *

Today's Date *

YYYY

I am a(n) *

Current Customer

Former Customer

Employee

Job Applicant

Site Visitor

Marketing Recipient

Choose one request type *

Update Data

Info Request

Data Deletion

File a Complaint

Data Access

Marketing Unsubscribe

Do not sell my information

Proof of Identity

Please note that we may require proof of your identity in order to proceed with this request. This is typically in the form of photographic ID (e.g. valid passport or drivers license) but in certain circumstances, we may require additional documentation. Upon receipt of the completed form, a member of the Compliance Team will contact you directly to confirm the requirements.

I understand that I may be required to provide the requested documentation.

Required

First Name *

Last Name / Surname *

Please enter any other names (including nicknames) / previous names/maiden name the Data Subject is known by

Email Address *

Country *

If United States, please enter your state (otherwise type NA) *

Additional Comments or Information

Lucky Orange LLC – 8665 W 96th St, Suite 100, Overland Park, KS 66212
Contact us at privacy@luckyorange.com
Privacy Policy : https://www.luckyorange.com/privacy.php

A copy of your responses will be emailed to the address you provided.

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