Data Subject Erasure Request Form

I. Requestor Name (Data Subject) and Contact Information

Please provide the data subject’s information in the space provided below. If you are making this request on the data subject’s behalf, in addition to the information requested below, you are also required to provide your name and contact information in Section III.

We will only use the information you provide on this form to identify you and the personal data you are requesting to erasure, and to respond to your request.

Country of Origin (required)

First Name (required)

Last Name (required)

Any other names that you have been known by (including nicknames):

Home Address (required)

Date of Birth (required)

Telephone Number (required)

Registered Email Address (required)

Please provide other unique identifiers or related information to help us locate your personal data (for example, Mimeo customer account number)

Which Mimeo services do you currently use? *
Mimeo PrintMimeo MarketplaceMimeo PrintXMimeo DigitalOther

II. Proof of Data Subject’s Identity

To prevent fraudulent removal requests from people impersonating others, trying to harm competitors, or improperly seeking to suppress legal information, we need to verify the identity of the person on whose behalf the request is made (the relevant individual). We accept a photocopy or a scanned image of the following as proof of identity: passport or photo identification such as a driver’s license, national identification number card, or birth or adoption certification. You may also obscure any parts of the document (e.g. ID number) as long as the remaining information identifies the relevant individual. If you have changed your name, please provide a relevant document evidencing the change. Mimeo will use this information solely to help us assess and document the authenticity of your request and will delete the copy within a month of closing your erasure request except as otherwise required by law.

We may request additional information from you to help confirm your identity and your right to erasure. We reserve the right to refuse to act on your request if we are unable to identify you.

Allowed file types: PDF, Image (jpeg or png). Max file size: 8MB

III. Requests Made on a Data Subject's Behalf

Please complete this section of the form with your name and contact details if you are acting on the data subject's behalf.

Country of Origin

First Name

Last Name

Home Address

Date of Birth

Telephone Number

Email Address

IV. Information Subject to Article 17

Under Article 17, you have the right to request the erasure of your personal data if one of the following grounds applies:
• The personal data is no longer necessary for the purpose we collected it for.
• You withdrew your consent to our processing activities and no other legal justification for processing applies.
• You are objecting under GDPR Article 21(1) to:
• processing that is necessary for us to perform a task in the public interest or in the exercise of our official authority; and
• there are no overriding legitimate grounds to process the personal data.
• You are objecting under GDPR Article 21(1) to:
• processing that is necessary to pursue our or a third party’s legitimate interests; and
• there are no overriding legitimate grounds to process the personal data.
• You are objecting under GDPR Article 21(2) to processing for direct marketing purposes.
• We unlawfully processed your personal data.
• EU or member state law requires us to erase your personal data to comply with a legal obligation.
• We collected the personal data in the context of offering online services to children under GDPR Article 8(1).

To help us process your request quickly and efficiently, please provide as much detail about the personal data you are requesting erasure of and the above ground or grounds you are relying on to request erasure of your personal data.

We will contact you for additional information if the scope of your request is unclear or does not provide sufficient information for us to conduct a search (for example, if you request erasure of “all information about me”).

Applicable law may allow or require us to refuse to act on your request, or we may have destroyed, erased, or made your personal data anonymous in accordance with our record retention obligations and practices. If we cannot honor your erasure request, we will inform you of the reasons why, subject to any legal or regulatory restrictions. If we determine that the personal data you are requesting to erase is not subject to Article 17, we will inform you of this decision.

We will begin processing your erasure request as soon as we have verified your identity and have all of the information we need to locate your relevant personal data.

V. Signature and Acknowledgment

I confirm that the information provided on this form is correct and that I am the person whose name appears on this form, or am authorized to act on behalf of the data subject. I understand that: (1) Mimeo must confirm proof of identity and may need to contact me again for further information; and (2) my request will not be valid until Mimeo receives all of the required information to process the request.

Sign below by entering your full name and today's date.

Full Name (required)

Today's Date (required)