Surfin Mouse, LLC.

1

Create request

2

Provide identification

3

Send request

I would like to:

request access to my personal data

request to rectify my personal data

request erasure of my personal data

request restriction of my personal data’s processing because

the accuracy of my personal data is contested (please provide a reference to the dispute below).

the processing is unlawful and I oppose the erasure of the personal data and request the restriction of its use instead.

although the controller does not need the data anymore, I require the data for the establishment, exercise or defence of legal claims.

I have objected to processing and the verification is pending (please provide a reference to the objection below).

Reference to dispute or objection (e.g. DSR ID):

My request concerns the following data:

request porting my personal data

... to me via a download link

... to another data controller

To data controller:

My request concerns the following data:

Please do not transfer the following data:

I confirm that my request does not adversely affect the rights and freedoms of others.

object the processing of my personal data

Please select:

object the processing of my personal data

object the processing of my personal data for scientific or historical research purposes or statistical purposes

My request relates to the following processing/profiling:

The reasons for my objection are:

object the processing of my personal data for direct marketing purposes

make a request regarding automated decision-making/profiling

revoke the consent I gave to the processing of my personal data

Create request

2

Provide identification

3

Send request

Data subject:

I am acting:

Please select

I am (the data subject is):

Please select

Provide user credentials so that Surfin Mouse, LLC. can identify you / the data subject

Please provide the user credentials which are known to the company and by which Surfin Mouse, LLC. can identify you and match your request with a data set.

Please note that because your request concerns personal data, Surfin Mouse, LLC. needs to identify you. The type of identification you will have to provide depends on how critical the requested data is. Surfin Mouse, LLC. may in addition ask you for a strong customer identification to ensure that no one else can dispose of your data.

Name/Username*

Email*

This email address will be used for any communication in relation to this request. A verification message will be sent to this email address.

Identification

Back Next

1

Create request

2

Provide identification

3

Send request

Additional data:

Please provide any additional information in this field.

This request is privacy related

The data entered in this form is processed by Prighter according to its duties as privacy representative and according to your request shared with Surfin Mouse, LLC. located at 33 Irving Place FL3 New York NY 10003 USA. We do not verify, if Surfin Mouse, LLC. is located in a country which ensures an adequate level of data protection or if Surfin Mouse, LLC. has provided appropriate safeguards. Irrespective of an adequacy decision or of appropriate safeguards the processing of the data you provided in this form including the transfer of this data is based on your request to do so when submitting your request.

Back

Make a privacy related request to Surfin Mouse, LLC.

I would like to:

Data subject:

Provide user credentials so that Surfin Mouse, LLC. can identify you / the data subject

Additional data: