Data Access Request Form

Please complete this form to receive a report about your personal data collected by Avante Women’s Centre. Your report will be sent within 20 working days. You can also use this form to update or delete any information we have about you.

Name(Required)

First Last

Which email address have you used to access our services?(Required)

You are submitting this request as:(Required)

The person mentioned above

A third party, authorized by the person to make this request

I am submitting a request to:(Required)

Receive a report about which personal data is collected about me

Have my information changed

Have my information deleted

Other