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Contact
Data Subject Request
Name Of Requester:
RELATIONSHIP WITH THE COMPANY:
Current Employee
Prior Employee
Job Applicant
Customer
Prospective Customer
AMERISOURCEBERGEN BUSINESS UNIT TO WHICH THIS REQUEST RELATES:
Start Date of Employment:
End Date of Employment:
Date of Application:
Employee Number:
Nature of Request:
Access
Rectification
Restrict Processing
Object to Processing
Object to Direct marketing
Erasure
Portability
Other
Email:
Telephone:
Comments:
By the submission of this request and the requested information, I hereby
CONFIRM THAT I AM THE PERSON WHOSE NAME AND IDENTITY ARE REFERENCED ABOVE; AND,
CONSENT TO THE PROCESSING OF SUCH PERSONAL DATA FOR THE PURPOSE OF FULFILLING THE REQUEST UNDER THE CALIFORNIA CONSUMER PRIVACY ACT WHICH IS REFERENCED ABOVE.
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