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Data Subject Request Form

Data Subject Request Form Generator for United States

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Key Requirements PROMPT example:

Data Subject Request Form

"Need a Data Subject Request Form for our medical clinic that complies with both HIPAA and CCPA requirements, with specific sections for patient medical record requests and automated processing capabilities for high-volume requests."

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Document background
The Data Subject Request Form serves as a crucial tool for organizations to comply with U.S. privacy regulations while managing individuals' requests regarding their personal data. This document is essential for businesses subject to state privacy laws such as CCPA/CPRA, VCDPA, CPA, UCPA, and CTDPA, as well as sector-specific regulations like HIPAA, GLBA, and FERPA. The form standardizes the process of receiving, verifying, and responding to data subject requests, helping organizations maintain compliance while protecting individuals' privacy rights.
Suggested Sections

1. Personal Information: Collection of data subject's identification details including name, contact information, and any reference numbers

2. Request Type: Selection of the type of data subject request (access, deletion, correction, portability, restriction of processing)

3. Request Details: Detailed description of the specific information or action being requested

4. Verification Section: Identity verification requirements and process to confirm the requestor's identity

5. Declaration: Statement of truth and signature section confirming the accuracy of provided information

Optional Sections

1. Authorized Agent Details: Section for providing information when request is made by an authorized representative on behalf of the data subject

2. Specific Data Period: Section to specify the timeframe for which data is being requested

3. Format Preference: Section to indicate preferred format for receiving requested information (electronic, paper, etc.)

Suggested Schedules

1. Schedule A - Identity Verification Documents: List of acceptable identity verification documents and requirements

2. Schedule B - Privacy Notice: Information about how the request data will be processed and handled

3. Schedule C - Authorization Form: Template form for documenting authorized agent permissions when applicable

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

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alex.den.21@genieai.co
Industries

CCPA/CPRA: California Consumer Privacy Act/California Privacy Rights Act - Most comprehensive data privacy law in the US, applies to businesses serving California residents and grants specific rights to data subjects

VCDPA: Virginia Consumer Data Protection Act - Effective January 1, 2023, provides similar rights to CCPA/CPRA for Virginia residents

CPA: Colorado Privacy Act - Effective July 1, 2023, includes specific data subject rights for Colorado residents

UCPA: Utah Consumer Privacy Act - Effective December 31, 2023, provides privacy rights for Utah residents

CTDPA: Connecticut Data Privacy Act - Effective July 1, 2023, establishes privacy rights for Connecticut residents

HIPAA: Health Insurance Portability and Accountability Act - Federal law governing privacy and security of healthcare-related data

GLBA: Gramm-Leach-Bliley Act - Federal law governing privacy and security requirements for financial institutions

FERPA: Family Educational Rights and Privacy Act - Federal law protecting privacy of student education records in educational institutions

GDPR Considerations: General Data Protection Regulation - While EU-based, must be considered if organization handles EU residents' data

Identity Verification: Requirements for verifying the identity of individuals making data subject requests

Request Types: Different categories of requests including access, deletion, correction, and portability

Response Timeframes: Mandatory timeframes for responding to data subject requests under various regulations

Response Format: Required format and content of responses to data subject requests

Exemptions: Legal exemptions and limitations to data subject rights under various regulations

Record-keeping: Requirements for maintaining records of data subject requests and responses

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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