Data Subject Access Request

Privacy request form

Fundment LLC respects your privacy rights under applicable U.S. state privacy laws. Use this form to submit a request regarding your personal information. If this form does not function as expected, you may email the information requested below directly to privacy@fundment.com.

If you do not provide all the requested information, Fundment LLC may not be able to fulfil your request.

The data relates to*

Request type*

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Note: Opt-out requests (sale/sharing, profiling, and limiting sensitive personal information) do not require identity verification. We honor opt-out preference signals, including Global Privacy Control (GPC), as valid requests to opt out where required by applicable law. For an appeal, please include the reference number of your original request.

Data subject's first name*

Data subject's last name*

Data subject's state of residence*

Data subject's address*

Data subject's ZIP code*

Phone number*

Email address*

Are you submitting this request on behalf of someone else (as an authorized agent, parent/guardian, or other legal representative)?*

Yes
No

Declaration*

I certify that the information in this form is true and accurate and that I am the data subject or am authorized to act on the data subject’s behalf.

Privacy request form

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