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Written Consent Form

Effective Date: January 20, 2025

This Written Consent Form allows you to provide explicit consent for PolicyLiason to collect, process, and use your personal information as outlined in our Privacy Policy and Terms of Service.

By providing your consent, you authorize PolicyLiason to:

  • Collect and store the personal information you provide
  • Use your information to deliver our services
  • Communicate with you regarding your inquiries and requests
  • Process your data in accordance with our Privacy Policy

What Information We Collect

When you use our services, we may collect:

  • Personal identifiers: Name, email address, phone number
  • Communication data: Messages and inquiries you send to us
  • Usage data: Information about how you interact with our website

Your Rights

You have the right to:

  • Access: Request a copy of your personal data
  • Correction: Request correction of inaccurate information
  • Deletion: Request deletion of your personal data
  • Withdraw consent: Withdraw your consent at any time
  • Data portability: Receive your data in a structured format

To exercise any of these rights, please contact us.

Important Information

We Do Not Sell Your Information

We do not sell, trade, or rent your personal information to third parties. Your data is used solely to provide you with our services and improve your experience.

Data Security

We implement appropriate security measures to protect your personal information. However, no electronic transmission or storage is 100% secure.

Providing consent is voluntary. However, without your consent, we may not be able to provide certain services to you.

You may withdraw your consent at any time by:

By checking the box below and submitting this form, you acknowledge that:

  • You have read and understood this Consent Form
  • You have read and understood our Privacy Policy and Terms of Service
  • You freely and voluntarily consent to the collection, processing, and use of your personal information as described
  • You understand your rights and how to exercise them
  • You understand that you can withdraw your consent at any time

Contact Information

If you have questions about this consent form or wish to exercise your rights, please contact us:

PolicyLiason Email: privacy@policyliason.com Phone: (555) 123-4567 Website: https://policyliason.com/contact


Note: If you need to provide written consent for a specific service or inquiry, please use our contact form and indicate your consent in your message. Our team will follow up with you directly.