Mobile Device Data Deletion Request Form
Submit this Mobile Device Data Deletion Request Form to request the deletion of data stored on your mobile device or within a mobile app.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Device Type
*
Please Select
Smartphone
Tablet
Other
Device Model (e.g., iPhone 13, Samsung Galaxy S22)
*
Operating System
*
Please Select
iOS
Android
Other
App Name
*
App Account Username (if applicable)
Describe the data you want deleted
*
Reason for Data Deletion Request
*
Please Select
No longer using the app
Privacy concerns
Switching devices
Other
Submit Request
Should be Empty: