Data Request Form Depending on where you reside, you may use this portal to make certain requests regarding your personal information collected, held, and shared by Grace Debt Relief. If you decide to submit a data request to address your personal information which is in our possession, we will evaluate the requests to determine (based on the totality of circumstances) whether your requested information correction is more likely than not accurate, and upon such determination we will update your personal information based on the information provided in your request. We will consider any documentation you provide in support of your request as part of our evaluation to address your personal information. You may send us supporting documentation via email at [email protected] You may make your request using the form below, by emailing us at [email protected]or by calling us at toll free at 1-800-665-9575.We will confirm receipt of your request within 10 days after submission. While we will try to honor your request as soon as possible, we may have an initial 45 days, with the ability to seek additional time, to respond with confirmation of correction or an explanation of the reasons we were unable to correct your personal information. We may also inform you that we need up to 45 additional days to respond to your request and provide the reason we need additional time. Depending on the type of request that you submit, we may share your data request with third parties and the information shared with third parties. If applicable, we will request that third parties comply with your data requests and provide verification. We are not able to guarantee that all third parties will comply with data requests. If you wish to request data from a third party, please submit your request directly with that organization. Depending on the type of request, we may be unable to assist you in providing our services. Additional information about how we use and disclose personal information, including the types of third parties to whom we disclose information, and methods by which you may contact us with questions, can be found in our Privacy Policy. Before submitting your data request, we urge you to read and consider the Privacy Policy and You California Privacy Rights on our Site. Name Name First Name First Name Last Name Last Name Address Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country What are your preferred contact methods for questions about your request? Phone Call Text Message Email Mail How do you want to receive our response? Mail Email If you submit this request as an authorized agent, we request additional information to verify that you are authorized to submit the request on the requested individual’s behalf. If you answered yes, below, kindly provide in the description section of this form, in addition to the scope of the request, the full legal name, address, phone number, and email of the individual on whose behalf you are making the request. Are you submitting this request as an authorized agent for the above consumer? Yes No Select type of data request you wish to make: (Select Applicable Items; Make sure not to select inconsistent request, for example Correction request and Deletion Request) Data Portability Opt-Out Request Right to Know Request Deletion Request Unsubscribe from Marketing Request Correction Request Appeal Request Describe the request you wish to make and how you would like us to respond to your request (if made on behalf of another, please include identifying information of the consumer on whose behalf you make the request). By clicking “Submit” and submitting this form, I certify that I am the above-named individual or a person authorized by the above-named individual to submit this form on their behalf. I understand that Grace Debt Relief may contact me to obtain identity verification and validate this request. I understand and agree that this Form is subject to all Terms of Use and Privacy Policy requirements, and unless I properly and timely opted out from my Arbitration Agreement, that any dispute arising out of this request or relating to the request is subject to the Arbitration Agreement. Submit If you are human, leave this field blank.