• Data Privacy Information Request

    Our company takes your data privacy very seriously   


    This form allows you to make a personal information request and submit this information to us for processing. 


    1. Information regarding your request

    I am a(an): Please select one of the following options:* 
     


    I would like information regarding the following (please select one):
      

    Please provide additional details regarding your request:
                            

    2. Contact Details of the individual making the Personal Information Request 

    The information that you provide will be used to verify your identity, validate your Personal Information and respond to your request.
    For additional information regarding our privacy policy, refer to our website at at Volt.com


    First Name:* 
     


    Last Name:* 


    Email address:*
     


    Phone Number:*


    City/State:*
     

    3. Contact details of an Authorized Agent ( if the information is different from section 2. above)
    Under certain circumstances an authorized agent may obtain information on the consumer’s behalf. The information requested below pertains to that authorized agent and should be completed if applicable in addition to section 2 above).  
    The information that you provide for this request will be used for the purposes of verifying your identify, to validate your Personal Information and respond to your request. For additional information regarding our privacy policy, refer to our website at Volt.com. 
    The authorized agent may be required to submit a declaration or affidavit demonstrating that they have the authority to act on the consumer’s behalf. 

    First Name:*
     


    Last Name:*

    Company/Firm Name:


    Email Address:* 


    Phone Number:*
      


    City/State:* 


    Relationship to the consumer whose personal information you are requesting:
      

    Evidence to act on behalf of the consumer whose personal information you are requesting:
     

    By checking the Acknowledgment box above, I certify that the information submitted in this form is accurate and complete. I understand that the Personal Information provided will be used solely to process my request and provide me with a response. I further understand that it may be necessary for me to provide additional information to confirm my identity before a final response to my request is provided and the time frame for the company’s response is dependent on my providing this information.
    I understand that my rights are not absolute and that under certain circumstances my request may be denied.