Consumer Privacy Rights Request Form

In accordance with applicable U.S. privacy law, and depending upon the jurisdiction in which you reside, you may be able to exercise certain data rights regarding your personal information. Please complete this form to submit your request. For more information regarding these rights, please see our Privacy Notice.

In certain circumstances, we may require additional information if we are unable to verify your request based on the information you have provided. The personal information submitted in connection with this request will be used for the purpose of processing your request.

Fields marked with an asterisk (*) must be completed in order to submit this form. Complete the following fields using the consumer’s information.!

Select the consumer right you would like to exercise:

Right to AccessRight to PortabilityRight to CorrectionRight to Appeal

Additional Rights:

Right to Deletion. To exercise your right to deletion please fill out our Account Deletion Form

Right to Opt Out of Targeted Advertising. You may also have the right to opt out of the use of your personal information for targeted advertising purposes. In California, this is also referred to as the right to opt-out of sharing your personal information for cross-contextual advertising purposes. Please click the link “Do Not Sell or Share My Personal Information” in our website footer to opt-out of targeted advertising from Willow. Please note this opt out is browser specific. You must reset your preferences if you clear cookies or use a different browser or device.

Please provide the following identifying information:

Please identify your relationship with Willow

Please note: If you’re an Authorized Agent submitting a request on behalf of a consumer, we will follow up with you by email to obtain a written authorization from the consumer indicating you’ve been authorized to submit a request on the consumer’s behalf.

First Name

Last Name

State

By submitting this request, I am confirming the following:

1. Accuracy: The information I have provided is true and accurate; 2. Privacy: I understand the information will be processed by Willow in accordance with our Privacy Notice; 3. Contact: Willow has the right to contact me to verify my identity and to process this request.

Contact Information