Data Privacy Request Form

You have the right to submit data privacy requests to know information or for deletion or correction. To do so, please fill out and submit the form on this page. The information provided will be used and retained solely for the purpose of fulfilling your request and demonstrating compliance with privacy regulations.

Smart Choice will only release information to the person that the information relates to. If the request is being made by an authorized representative, the authorized representative must also complete Section 2 below.

*Required field

country

United States

Full name

Any other applicable names

Current address

Current address line 2

City

State

Zip code

Previous address

Previous address line 2

City

State

Zip code

Phone number

Email address*

*Required field

Alternate email address

Detected IP address

Are you a current or previous Electrolux employee?

Select employment relationship

Do you have a connected appliance?

Select ownership

If you work for a company that does business with Electrolux, please provide the name of your company

Enter company here

Are you acting as an Authorized Representative for another person?

Yes, I am acting as an Authorized Representative for another person

Name of Representative

Representative’s Contact Information

Section 3 - Details of information

You have the right to access and receive a copy of the Personal Information we hold about you in manual or electronic form. Information relating to third parties which may be part of a record or other information exempt under applicable law(s) will not be provided or will be redacted (blacked out)

*Required field

Type of Request – Please select from the below options:

Select type of request

Type of information*

*Required field

Section 4:
Declaration if requesting specific information or deletion

*Required field

I acknowledge that I am the person making the request noted above, and that I am making this request in good faith on behalf of myself. I certify and declare under penalty of perjury under applicable laws that the foregoing is true and correct.

Signature/e-Signature of applicant*

Signature/e-Signature date*