Data Subject Access Request (DSAR)

Data Subject Access Request (DSAR) — Form Fields

This legal template includes 12 fields. GDPR/CCPA data subject access request form for individuals requesting their personal data. Free to customize and use on ZenBuild.

• Full Legal Name (text, required)
• Email Address Associated with Account (email, required)
• Phone Number (text, optional)
• Mailing Address (text, optional)
• Request Type (dropdown selection, required) — options: Access (copy of my data), Rectification (correct my data), Erasure (delete my data), Restriction (limit processing), Portability (transfer my data), Objection (stop processing)
• Applicable Regulation (dropdown selection, required) — options: GDPR (EU/EEA), CCPA (California), LGPD (Brazil), PIPEDA (Canada), Other/Unknown
• Account Username or Customer ID (text, optional)
• Describe the Data or Processing in Question (long text, required)
• Preferred Response Format (dropdown selection, optional) — options: Email, Postal Mail, Secure Portal Download
• Are You the Data Subject (multiple choice, required) — options: Yes, No - Authorized Agent
• Proof of Identity (file upload, required)
• Agent Authorization (if applicable) (file upload, optional)