Opt-Out Data Request form for USA Lending
USA Lending Opt-Out Data Request Form
Effective Date: 01/01/2024
Contact Information: [Insert Company Contact Information]
At USA Lending, we respect your privacy and are committed to providing transparency regarding how we collect, use, and share your personal data. This Opt-Out Data Request Form allows you to request that we stop collecting or sharing certain types of personal data or request the deletion of your personal information from our systems, where applicable under the law.
Please fill out this form and return it to USA Lending using the contact information provided below.
Request Type (Please check one or more options):
☐ Opt Out of Sale or Sharing of Personal Information
I request that USA Lending no longer sell or share my personal information with third parties, except as required by law or necessary for service-related purposes.
☐ Opt Out of Marketing Communications
I request that USA Lending stop using my personal information to send marketing communications, including emails, texts, or phone calls.
☐ Request for Deletion of Personal Data
I request that USA Lending delete my personal information, except as necessary to complete any ongoing transactions, comply with legal obligations, or for other permissible uses under the law.
☐ Request for Data Access or Portability
I request access to or a copy of the personal information that USA Lending has collected about me. This includes information collected, stored, and shared with third parties. (If you choose this option, we may provide this information to you electronically.)
Your Information:
Full Name:
[First Name] [Last Name]
Address:
[Street Address]
[City, State, ZIP Code]
Email Address:
[Insert Email Address]
Phone Number:
[Insert Phone Number]
Account Number (if applicable):
[Insert Account Number]
Date of Request:
[Insert Date]
Acknowledgment:
I acknowledge that I have provided accurate information in this form, and I understand that USA Lending may need to verify my identity and gather additional information to process my request. I understand that certain requests may limit or affect my ability to receive services from USA Lending and that the company may retain certain personal information as permitted or required by law.
Signature:
[Electronic Signature or Handwritten Signature]
[Date]
Submit Your Request:
Please submit your completed Opt-Out Data Request form using one of the following methods:
- Email: [Insert Company Email Address]
- Mail: [Insert Mailing Address]
- Phone (for assistance): [Insert Phone Number]
Important Information:
- Processing Time: We will process your request within the legally required time frame, typically 45 days, and notify you of any actions taken.
- Verification: We may require additional information to verify your identity before completing your request.
- Exceptions: Some personal data may be retained or used by USA Lending to comply with legal obligations, complete transactions, or for other permissible uses.
This form provides a compliant, easy-to-use method for customers to request opting out of data sharing or deletion of personal information. Make sure to fill in your company-specific details like contact information, and ensure it aligns with applicable privacy laws in the states where you operate.