Data Request - EcoTech Marine

Personal Data Request Form

Please fill out this form if you are a resident of the European Union and wishes to exercise your right to access, rectify, delete or object to further processing of the Personal Data we may have about you. If you do not wish to complete this form, you may also submit a written request to: Data Protection Officer 999 Postal Road Allentown, PA 18109, USA

Data Subject Name*
First Last
Requester Name
If applicable, Name of person making a request on data subject's behalf.
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Proof of Identity*
In order for us to verify your identity, please upload a photo or scan of a current photo ID (driving license, national identity card, passport).
Proof of Address*
In order for us to verify your address, please upload a photo or scan of a current proof of address (driving license, recent utility bill, bank statement).
Proof of Authority
If you are requesting data on behalf of another, please provide proof of authority granting you access and control of the data subject. (written consent, power of attorney, proof of parental responsibility) We reserve the right to refuse to act on your request if we are unable to verify your legal authority to act on the data subject's behalf.
I am requesting the following action(s):*
- Update my data
- Limit the processing of my data
- Port my data
- Access my data
- Restrict the processing of my data
Please describe your request*
Please specify the information and the processing activity to which your request relate. The more details you provide, the better we will be able to answer your request.
About your Personal Information
The information you provide here will be processed solely for the purpose of verifying your identity and residency, identifying the information you're requesting, and answering your request. Your personal information will be accessed by our Data Privacy Officer only. Your proof of ID and residency will be deleted once your request has been answered.
How we will process your request
We will answer your request, or request additional information from you within 30 days. We may extend this process for up to two months, in which case we will notify you of the extension within a month. The processing of this request is free of charge, but we reserve the right, as allowed under GDPR Article 12 (5), to charge an administrative fee under certain circumstances. Please note that we may refuse to act, as allowed under GDPR Article 12 (2) and 12 (5), on requests that are insufficiently substantiated, unfounded or excessive.
By checking this box I agree to the following:*

To be contacted by EcoTech Marine, LLC or its affiliates; and that deletion, restriction, or limitation of processing my data may result in termination and/or limitation of product services and functionality.
To submit this form, you need to accept our privacy statement
- Accept
Comments
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Personal Data Request Form

About your Personal Information

How we will process your request

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