Form

Privacy Rights Request Form

Depending on your state of residence and subject to certain limitations under applicable law, you may have certain rights with respect to your personal information. To exercise these rights, please complete this form. If you would like to submit a request as an authorized agent on behalf of another individual, please email dataprivacy@HuntonAK.com. To learn more about our information practices, please read our Privacy Notice and California Consumer Privacy Statement.

Section 1. Your Information. Please provide the information below so we can verify your identity and state of residency. (Fields marked with an asterisk are mandatory.)

First name*

Middle name

Last name*

Email*

Street address

City

State/Region*

Postal Code*

Phone number

Section 2. Your Rights Requests. Please identify which privacy right(s) you wish to exercise.

Request to Know: You have the right to request that we provide to you certain information about our collection, use and disclosure of your personal information within the preceding 12 months.

Please check the box(es) below relating to the information you would like us to provide you:

1) Categories of personal information we collected about you

2) Categories of sources from which your personal information was collected

3) Business or commercial purposes for collecting your personal information

4) Categories of third parties to whom we disclosed your personal information

5) Specific pieces of personal information we collected about you. Note: If checked, we require you to sign and return to us a declaration form prior to us providing you with the requested information. The declaration form will be sent to the email address you provided above.

Request to Delete: You have the right to request that we delete the personal information that we collected from you, subject to certain exceptions as permitted by law.

Please check both boxes below if you would like to exercise your deletion right.

1) Check here if you would like us to delete the personal information we have collected about you.

2) Check here to confirm that you would like Hunton Andrews Kurth LLP to delete your personal information as indicated above.

Request to Correct: You have the right to request that we correct any inaccuracies in the personal information we have about you, subject to certain limitations as provided by law.

Check here if you would like to submit a request to correct.

Please select how you would like to receive our response:

Postal Mail

Note: Once we process your request, we may require additional information to verify your identity.