Data Deletion Request Form (Help Center Ticket)
Purpose
- Use this form to submit a verifiable request to delete personal data held by our organization, consistent with applicable laws (e.g., GDPR Article 17, UK GDPR, CCPA/CPRA §1798.105).
- We will assess the request, verify identity, and delete eligible personal data subject to legal retention obligations and documented exceptions.
How to submit
- Create a help center ticket and include the fields below.
- Do not include full payment card numbers, full SSNs, or other unnecessary sensitive identifiers.
- Attach only the minimum documentation needed for verification.
Section A: Requester Identity
- Full name (Required)
- Email address used with our services (Required)
- Phone number used with our services (Optional)
- Country/State of residence (Required)
- Relationship to our organization (Required): Consumer/Customer; Website/App user; Employee/Contractor; Business contact; Other
- Are you submitting on behalf of another individual? (Required): No / Yes (complete Section E)
Section B: Account and Identifiers
- Primary account identifier(s) (Required): User ID, username, customer ID, or email(s) associated with the account
- Additional identifiers to help locate records (Optional): Order numbers, ticket IDs, device IDs, loyalty/account numbers
- Services/products used (Optional): List relevant apps, websites, or service names
Section C: Request Details
- Request type (Required): Delete my personal data
- Scope of deletion (Required; select all that apply):
- Entire account and all associated personal data
- Specific service(s) (list)
- Specific data categories (select): Profile/contact data; Communications/support messages; Usage/analytics; Device identifiers/cookies; Transaction/billing records; Uploaded content; Other (describe)
- Time range (Optional): From [date] to [date]
- Optional reason (Not required under most laws; select if you wish): No longer necessary; Withdrawn consent; Objection to processing; Unlawful processing; Child/minor data; Other
- Do you request a copy of your data before deletion? (Optional): Yes / No
Section D: Jurisdiction and Legal Basis (for routing)
- Jurisdiction (Required): EU/EEA (GDPR) / UK (UK GDPR) / California (CCPA/CPRA) / Other (specify)
- If California: Are you acting as a household? (Optional): Yes / No
Section E: Authorized Agent/Substitute Decision-Maker (if applicable)
- Agent full name and organization (Required if acting as agent)
- Agent email and phone (Required if acting as agent)
- Authorization documentation (Required for CCPA/CPRA and similar):
- Signed permission from the consumer; or
- Power of attorney; or
- Court order/guardianship proof (for minors or incapacitated persons)
- Consumer’s verification contact (Required): Email or phone the consumer can use to confirm the request
Section F: Identity Verification
- Preferred verification method (Required; select one or more):
- Email verification link to the account email
- Code sent to phone on file
- Government-issued ID (redact ID number; show name and photo) — attach securely
- Recent transaction or order number known only to the account holder
- Note: We may request additional verification consistent with legal requirements to prevent unauthorized deletion.
Section G: Confirmations and Acknowledgements
- I understand deletion may:
- Terminate my account access and associated services
- Remove stored content, preferences, and history
- Affect warranties, subscriptions, or benefits tied to the account
- I understand certain data may be retained as required by law or for legitimate interests (e.g., security logs, fraud prevention, financial record-keeping, regulatory compliance), and retained data will be limited to what is necessary and access-restricted.
- I understand backups may persist until scheduled rotation; data will be put beyond use and not processed except for backup integrity, then deleted per retention schedule.
- I certify the information provided is accurate and I am the data subject or an authorized agent with valid authority.
- Signature or typed affirmation (Required)
- Date (Required)
Section H: Attachments (Optional unless required for verification)
- Authorization letter or power of attorney (if agent)
- Proof of guardianship (if applicable)
- Redacted ID (if required and selected in Section F)
Submission Metadata (for ticketing)
- Ticket category: Privacy > Data Subject Rights > Deletion
- Preferred response channel: Email / Phone
- Language preference: English / Other (specify)
Processing Timeline and Next Steps
- We will acknowledge receipt and begin verification.
- GDPR/UK GDPR: We aim to respond within 1 month of receipt; may extend by up to 2 additional months for complex requests, with notice.
- CCPA/CPRA: We aim to respond within 45 days; may extend once by up to 45 days when reasonably necessary, with notice.
- If we cannot fulfill the request (e.g., identity cannot be verified; legal exceptions apply), we will provide a clear explanation.
- If deletion is approved, we will confirm completion and outline any retained categories and retention reasons.
Additional Notes
- Deletion requests do not affect non-personal, aggregated, or anonymized data.
- If you only want to opt out of marketing or targeted advertising, submit a “Marketing/Opt-out” request instead.
- For security, we will not perform deletion via social media or unsecured channels.
Use this template as the structured form in your help center. Configure required fields and conditional logic (e.g., show Section E if “Authorized agent” is selected; enforce safe attachment upload). Ensure all processing and storage of request data complies with your privacy policy and applicable laws.
