ten Privacy Request Form

  • 1. Introduction

    This Privacy Request Form (“Form“) is provided by NEXUS HUBOARD, LLC, doing business as ten(“ten,” “we,” “our,” or “us“) in accordance with applicable privacy laws, including the California Consumer Privacy Act (CCPA) and other relevant regulations.

    This Form allows individuals (“you” or “your“) to exercise their rights regarding the collection, use, sharing, and deletion of personal information. Completion and submission of this Form enables us to process your request efficiently.

    2. Requestor Information

    To process your request, please provide the following details:

    Full Name: ___________________________
    Email Address: ___________________________
    Phone Number: ___________________________
    Physical Address (if applicable): ___________________________
    Relationship to TEN: (Select one)
    ☐ Current Customer
    ☐ Former Customer
    ☐ Website Visitor
    ☐ Other (Please specify): ___________________________

    3. Type of Privacy Request

    Please indicate the nature of your request by selecting one or more options:

    ☐ Access to Personal Information – Request a copy of the personal data we have collected about you.
    ☐ Correction of Personal Information – Request updates or corrections to inaccurate personal information.
    ☐ Deletion of Personal Information – Request that we delete your personal data, subject to applicable legal exceptions.
    ☐ Opt-Out of Sale or Sharing of Personal Information – Direct us not to sell or share your personal information with third parties.
    ☐ Restriction of Processing – Request that we limit the use of your personal data in certain circumstances.
    ☐ Other (Please specify): ___________________________

    4. Verification of Identity

    To protect your personal information, we may require verification before processing your request. Please indicate your preferred verification method:

    ☐ Email confirmation
    ☐ Phone verification
    ☐ Government-issued ID (secure upload available upon request)

    5. Additional Information

    Please provide any relevant details that may assist us in processing your request efficiently:

    6. Submission of Request

    Once completed, submit this Form using one of the following methods:

    • Mail: NEXUS HUBOARD, LLC DBA TEN

    Attn: Privacy Notice Inquiry

    3619 North Olney Street

    Indianapolis, IN, 46218

    • Online Portal: [Insert Link to Privacy Request Page]

    We will process your request within the legally required timeframe and provide confirmation upon completion. If we require additional information, we will contact you using the details provided in this Form.

    7. Contact Information

    If you have questions regarding this Form or your privacy rights, please contact us:

    • Mail: NEXUS HUBOARD, LLC DBA TEN

    Attn: Privacy Notice Inquiry

    3619 North Olney Street

    Indianapolis, IN, 46218

    For more details on how we handle personal information, please review our Privacy Policy.

     

    • Try for Free