Data Subject Request for Personal Records
This file provides instructions for data subjects seeking access, correction, or deletion of personal records held by UC San Diego. It outlines the legal rights granted under GDPR and the California Information Practices Act. Users can fill out the request form for a timely response to their privacy inquiries.
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How do I fill this out?
To fill out this form, start by providing your personal details and relationship to UC San Diego. Next, specify the nature of your request, whether it's accessing, restricting, or deleting your personal data. Finally, ensure that you sign and date the form for submission.

How to fill out the Data Subject Request for Personal Records?
1
Provide your personal information and affiliations.
2
Specify your request regarding your personal data.
3
Identify any other names used during your affiliation.
4
Sign the form to validate your submission.
5
Submit the form to the appropriate department.
Who needs the Data Subject Request for Personal Records?
1
Current students wishing to access their personal records.
2
Alumni seeking to correct their educational history.
3
Employees needing to manage their personnel files.
4
Patients requesting access to their medical records.
5
Research participants wanting to ensure their data is handled correctly.
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What are the instructions for submitting this form?
To submit this form, you can send it via email to privacy@ucsd.edu or fax to 123-456-7890. For online submissions, please use our secure portal available on the university website. Additionally, you can physically submit the form to the Registrar's Office at UC San Diego, 9500 Gilman Drive, La Jolla, CA 92093.
What are the important dates for this form in 2024 and 2025?
Important dates for this form may include application deadlines for data requests and response timelines. The GDPR mandates a response within one month of receipt of your request. For requests that require additional time, notify the requester within the initial month regarding the extension.

What is the purpose of this form?
The purpose of this form is to allow individuals to exercise their rights regarding their personal data held by UC San Diego. It enables users to access, correct, or delete personal records in compliance with legal obligations under GDPR and California regulations. This form empowers data subjects to take control of their private information and understand how it is managed.

Tell me about this form and its components and fields line-by-line.

- 1. Name(s) used during affiliation: Space to enter the full name used while affiliated with UC San Diego.
- 2. Other names known by: Field to specify any other names you may have used.
- 3. Relationship to UC San Diego: Options for indicating your connection to the university.
- 4. Approximate dates of affiliation: Area to input the timeframe of your association with UC San Diego.
- 5. Email Address: Field for your email address for communication purposes.
- 6. Request Details: Section to specify the type of request you're submitting.
- 7. Reason for Request: Optional checkboxes to indicate the rationale behind your request.
- 8. Signature: Field for your signature to authenticate the request.
What happens if I fail to submit this form?
If you fail to submit this form correctly, your request may not be processed. It is essential to complete all required sections to facilitate timely processing. Incomplete or unclear submissions will lead to delays in responding to your request.
- Incomplete Information: Failure to provide all required information will result in a request for clarification.
- Missing Signature: If the signature is absent, the request will be considered invalid.
- Proof of Identity: Without proper identification, UC San Diego may not be able to fulfill your request.
How do I know when to use this form?

- 1. Accessing Personal Records: For individuals seeking to review their personal files maintained by the university.
- 2. Correcting Information: When there's a need to rectify incorrect data in official records.
- 3. Requesting Deletion: For individuals who want to erase their personal data due to changes in circumstances.
Frequently Asked Questions
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You can access the Data Request Form directly from our website. Simply locate it under the relevant documents section and click to download.
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