Privacy Removal

Personal Information Removal Request Form

For privacy reasons, you may have the right to ask for certain personal information relating to you to be removed, deleted or erased from our database.

Your Information

*Denotes Required Inputs

First Name*

Last Name*

Your Email Address with Us*
Note: Please enter the same email address which you have used to communicate with us in past.

Reason for Removal*

I represent that the information in this request is accurate and that I am authorized to submit this request. *

Your personal information saved (with your consent) will be erased permanently from our database. The process may take at least 2 weeks. This may limit or prevent us from providing the products or services you have asked. It may also make it more difficult for us to advise you or suggest appropriate alternatives.

If you need any further assistance, contact us on NHDT@gov.ky.