Data Subject Request

Please complete the following form to make a request regarding your own personal data that we may hold. You can also send an email to privacy@cslbehring.com (or Chinaprivacy@cslbehring.com for China users).


This form should NOT be used to report an adverse event. If you have experienced any undesirable side effect(s) with a CSL or CSL group company product, talk to your doctor, pharmacist, or nurse. If you would like to report the side effect(s) to CSL or CSL group company, please contact us at: Adverse.Events.Global@cslbehring.com. For any other non-data privacy request, please visit www.csl.com/contact

Instructions

Please note that more fields will appear as you respond to currently visible questions. Please complete all questions with a *.


Please only disclose personal information that we may need to assess your request and respond to it.

Is this request regarding your own Personal Data?*

If this request is not regarding your own personal data, please email privacy@cslbehring.com.

Please provide information to allow us the ability to respond to your request.

Please provide information that was relevant/accurate at the time of the relationship with the CSL entity.

What CSL Entity does this request relate to?*

If your request relates to more than one entity, please complete a separate request for each entity.

What is your relationship with the entity?*

Do you know your Employee ID/User ID?*

Your ID number is also called your plasma donor ID or your pre donor ID.

Select
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To help us confirm your identity, please provide either the address or email you used when interacting with a CSL entity.

How would you prefer that we contact you and provide any information regarding this request?

Please provide your current address.

Phone

(OPTIONAL)

(OPTIONAL)

For example: specific systems or platforms, context of your request, etc.)

Please Note:

Missing or incomplete information may result in a rejection of the request or a delay in the completion of the request.


Except with the prescribed consent of the individual concerned, the Personal Data provided in this form will be used only for the purposes of processing this request and other directly related purposes. All information collected as a function of this request will be deleted 120 calendar days after the request has been closed, unless required for continuing legal requirements.

Disclaimer

We are required to verify your identity to ensure we provide you with your personal data. If we are unable to match the data provided with our records we may request additional information. The information that you provide will only be used for identification purposes and will be handled based on our legal obligation to provide this information. Any information you provide will be processed in accordance with our privacy policy. We ask for your phone numbers as an element to verify your identity, in case we would need to contact you to clarify your request and to provide you a password that will allow you to decode the encrypted documents we may send to you.

Certify

I certify that I understand that before complying with this request, CSL may require me to provide:


Proof of my identity and/or such further information as may be reasonably required for CSL to complete the request.


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