Data Request Form for Data Subjects PDF
5ğƷğ wĻƨǒĻƭƷ CƚƩƒ 5ğƷğ {ǒĬƆĻĭƷƭ
ƚ ƩĻƨǒĻƭƷ ķğƷğ ğƭ ğ ķğƷğ ƭǒĬƆĻĭƷͲ Ǥƚǒ ƒǒƭƷ ƭŷƚǞ
ƌźĭĻƓƭĻͲ ƒźƌźƷğƩǤ L5Ͳ ƚƩ ƦğƭƭƦƚƩƷ ğƭ ƦƩƚƚŅ ƚŅ źķĻƓƷźƷǤ͵
/ƚƓƷğĭƷ źƓŅƚƩƒğƷźƚƓ
Data subject name:
Parent/Guardian name (if applicable):
Address:
Phone number/email address:
{ƷğŅŅ ǝĻƩźŅźĭğƷźƚƓ
Request date:
Identification provided:
L ğƒ ƩĻƨǒĻƭƷźƓŭ ğĭĭĻƭƭ Ʒƚ ķğƷğ źƓ ƷŷĻ ŅƚƌƌƚǞźƓŭ ǞğǤʹ
Inspection
Copies
Both inspection and copies
We will respond to your request within 10 business days.
bƚƷĻʹ LƓƭƦĻĭƷźƚƓ źƭ ŅƩĻĻ͵ ŷĻ /źƷǤ ƚŅ {ŷƚƩĻǞƚƚķ ĭŷğƩŭĻƭ ŅƚƩ ĭƚƦźĻƭ ƚŅ ķğƷğ͵
ŷĻƭĻ ğƩĻ ƷŷĻ ķğƷğ L ğƒ ƩĻƨǒĻƭƷźƓŭʹ
Describe the data you are requesting as specifically as possible.
City of Shorewood, Dated 5/24/2021
1
Policy and procedures required by Minnesota
Statutes, sections 13.025 and 13.03