Mandate Form

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First Name: *

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Last Name: *

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Work Email: *

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Work Phone: *

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Company: *

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Address: *

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City: *

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Legal Section

Enter a valid value for I give Worker Info Exchange (WIE)* my permission and mandate to file a Subject Access Request and Data Portability Request on my behalf with the platform(s) selected above. This request is made pursuant to Article 15 and 20 GDPR to access my personal data and information on the following as it relates to my personal data: the purposes of processing, the categories of data processed, the (categories) of recipients of data, data storage and retention policies and the existence, logic and consequences of automated decision-making and profiling I may have been subject to.

I give Worker Info Exchange (WIE)* my permission and mandate to file a Subject Access Request and Data Portability Request on my behalf with the platform(s) selected above. This request is made pursuant to Article 15 and 20 GDPR to access my personal data and information on the following as it relates to my personal data: the purposes of processing, the categories of data processed, the (categories) of recipients of data, data storage and retention policies and the existence, logic and consequences of automated decision-making and profiling I may have been subject to.: *

Enter a valid value for I give Worker Info Exchange (WIE) my permission and mandate to lodge complaints with a supervisory authority on my behalf, to exercise the rights referred to in Articles 77, 78, 79 and 80 General Data Protection Regulation (GDPR) on my behalf, and to exercise my right to claim compensation referred to in Article 82 GDPR on my behalf, where provided for by law. If the platforms do not meet my subject access, portability and other information requests and/or do not meet other legal obligations with regard to my personal data, I give WIE permission to take legal action on my behalf individually or as part of a group complaint or claim collectively made by platform workers.

I give Worker Info Exchange (WIE) my permission and mandate to lodge complaints with a supervisory authority on my behalf, to exercise the rights referred to in Articles 77, 78, 79 and 80 General Data Protection Regulation (GDPR) on my behalf, and to exercise my right to claim compensation referred to in Article 82 GDPR on my behalf, where provided for by law. If the platforms do not meet my subject access, portability and other information requests and/or do not meet other legal obligations with regard to my personal data, I give WIE permission to take legal action on my behalf individually or as part of a group complaint or claim collectively made by platform workers.: *

Enter a valid value for Worker Info Exchange will process the personal data provided by you for the purposes of this mandate and a copy of the signed mandate form in order to file the Data Portability Request. WIE will retain this data, and any data that is shared in response for as long as necessary to support the purposes set out in section 5 of the Worker Info Exchange Privacy Policy. (https://www.workerinfoexchange.org/privacy-policy) I acknowledge that I have read and understood this Privacy Policy and hereby consent to the processing of my personal data as described in the Worker Info Exchange privacy policy.

Worker Info Exchange will process the personal data provided by you for the purposes of this mandate and a copy of the signed mandate form in order to file the Data Portability Request. WIE will retain this data, and any data that is shared in response for as long as necessary to support the purposes set out in section 5 of the Worker Info Exchange Privacy Policy. (https://www.workerinfoexchange.org/privacy-policy) I acknowledge that I have read and understood this Privacy Policy and hereby consent to the processing of my personal data as described in the Worker Info Exchange privacy policy.: *

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