DATA SUBJECT ACCESS REQUEST (DSAR) FORM

  • If you wish to exercise any of your data privacy rights with respect to your Personal Information that, in your reasonable belief, is being collected, processed, or stored by Energy Resource Management Corp. (“EnergyRM”), please complete this DSAR Form and email it along with the required proof to EnergyRM at privacy@energyrm.com. Please note that if the information you submit is not complete or otherwise is not sufficient for EnergyRM to respond to your request, EnergyRM may ask you for additional information. Additionally, EnergyRM may ask you for additional information to verify your identity. The time period for our response to your DSAR will begin when you submit the satisfactory completed DSAR Form and provide us with sufficient information to respond to your request.
  • A. DATA SUBJECT DETAILS

  • Date Format: MM slash DD slash YYYY
  • Drop files here or
      e.g. driver’s license; copies of your utility bills sent to the address provided above for the last 3 months, etc. We need this information to ensure that we disclose your Personal Information only to you or a person authorized by you.
    • Please describe the nature of your legal relationship with EnergyRM:(e.g. Are you an employee of EnergyRM? Are you an EnergyRM client/employee of EnergyRM’s client? Are you an end user of the EnergyRM Platform, related services, or other EnergyRM web-based services or products? Are you a vendor of EnergyRM? Are you our certified partner? Are you or were you an independent contractor of EnergyRM? etc.)
      Please specify the legal basis upon which you are requesting information and/or which of your legal data privacy rights you wish to exercise
    • Please let us know how you would like us to communicate our response to you: for example, by regular mail, email, fax, etc.; please provide the necessary contact details.
    • B. DETAILS OF PERSON REQUESTING THE INFORMATION

      If not the data subject whose personal information is processed by EnergyRM. If you are the data subject, proceed to section C.
    • Please submit proof of your legal authority as part of this DSAR
    • e.g. legal guardian, attorney
    • C. COMMENTS

    • D. DECLARATION

    • Signature:Date: 
      I am the undersigned and the person identified in Section A. (Data Subject Details) above, hereby request that EnergyRM provide me with the data about me as specified above and otherwise respond to my requests concerning my personal data as specified in my DSAR.
    • Signature:Date: 
      I am the undersigned and the person identified in Section B. (Details of Person Requesting Information) above, hereby request that EnergyRM provide me with the data about the data subject identified in Section A. of this DSAR Form and otherwise respond to my requests concerning personal data of the data subject as specified in this DSAR.