Data Privacy Request Form

Data Privacy Request Form

You must be a Connecticut resident to be eligible to request a copy of your personal data processed by Safety Valve.

Contact Information

Ex. (123) 456-7890


Enter the address where you have Safety Valve service

Identity Verification

We need to verify your identity to comply with your request.

Attestation Statement

I am a Connecticut resident, I agree with the information I submitted above is accurate and truthful to the best of my knowledge. I have read the Safety Valve Privacy Policy and I understand that Safety Valve will take measures to verify my identity before fulfilling my request.
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