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Privacy Rights Request Form

If you are a resident of California, Colorado, Connecticut, Utah, or Virginia, to make a request to exercise your privacy rights, please complete and submit this form.

Please Note: Data privacy laws include exemptions that may apply to our collection and processing of your personal information or personal data (together, “Personal Information”). Therefore, the ability to exercise the rights set out herein may not apply to you or to all of your Personal Information. Please note that your request is subject to verification.

For more information:

Relationship Type (check all that apply)

  • Premom app user
  • Website visitor
  • E-Commerce Customer (purchaser of Easy@Home products or services)
  • Current or former Easy Healthcare job applicant
  • Representative of Easy Healthcare vendor
  • Authorized Agent
  • Other

Type of Request (check all that apply):

  • Confirm Processing of Personal Information
  • Know Categories of Personal Information Being Processed
  • Access and Obtain Personal Information
  • Correct Inaccurate Personal Information
  • Delete Personal Information
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