Personal Information Request Form
Country of Origin:
Contact Email Address:
I am acting on behalf of...
If you are submitting this request on behalf of someone else, please specify your relationship to that person (for example: "parent", "attorney"). We may ask for documentation confirming that you are authorized to represent this person.
Your legal relationship to the person on whose behalf this request is made:
Category of Data Subject:
The purpose for this submission:
I consent to the processing of the personal information that I am submitting, as outlined below: *
Vertex Software, LLC will use the personal information that you supply on this form (including your email address and any ID information) and any personal information you may submit in further correspondence for the purposes of processing your request and meeting our legal obligations. We may share details of your request with data protection authorities, but only when they require these details to investigate or review a decision that we have made. That will normally be because you have chosen to contact your national DPA about our decision.
I represent that the information in this request is accurate and that I am authorized to submit this request. *
I understand that Vertex Software, LLC will not be able to process my request if the form is not properly filled out or if the request is incomplete. *
Signed on this date of:
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