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Data Access Request Form

Data Access Request Form

 

Complete the following form to request access to personal data. Once completed, the request will be evaluated, and a response would be sent to the email provided.

 

Personal Information



 

Data Request Detail

Field Information
Description of Request
Date Range
Specific Data Categories
  • Personal Information
  • Financial Data
  • Health Data
  • Location Data
  • Communication History

Other (Please specify): 
Additional Information

 

Preferred Method of Receiving Data

 

Consent and Authorization

By submitting this request, you consent to GovTech Services processing your personal data for the purpose of fulfilling this request. You also acknowledge that providing false or misleading information may result in delays or denial of your request.

  • I consent to the processing of my personal data for this request.

 

Submission

Please review your information before submitting your request. Once submitted, our team will review and process your request promptly.

  • I confirm that the information provided is accurate and complete.


 

Thank you for using the GovTech Services Data Access Request Form. We will respond to your request as soon as possible.