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Name: dsar — POST

<form class="my-4" name="dsar" id="dsar_main_form" method="post" novalidate="" onsubmit="return setCaResidentValue();" target="hiddenFrame">
  <h4 class="font-weight-light mt-2">Submit a Request</h4>
  <p class="font-weight-light text-muted"> Please fill out the following details as accurately as possible so we can validate and process your data request. </p>
  <p class="font-weight-bold mb-2" for="dataSubjectName">Are you making a request on your own behalf?</p>
  <div class="form-group">
    <div class="custom-control custom-radio">
      <input type="radio" id="requestorDataSubject" name="isDataSubject" class="custom-control-input" value="Yes" checked="" data-no-submit="">
      <label class="custom-control-label" for="requestorDataSubject">Yes, I am making a request on my own behalf.</label>
    </div>
    <div class="custom-control custom-radio">
      <input type="radio" id="requestorAuthorizedParty" name="isDataSubject" class="custom-control-input" value="No" data-no-submit="">
      <label class="custom-control-label" for="requestorAuthorizedParty">No, I am making a request on behalf of someone else.</label>
    </div>
  </div>
  <p class="font-weight-bold mb-2" for="dataSubjectName">Who is this request about?</p>
  <div class="form-group">
    <small><label class="font-weight-light text-muted" for="dataSubjectName">Relationship to our organization</label></small>
    <select class="form-control" required="" name="dataSubjectName" id="dataSubjectName" onchange="applyValidationStyle(this)">
      <option value="" disabled="" selected=""></option>
      <option value="Customer">Customer</option>
      <option value="Other">Other</option>
    </select>
  </div>
  <div class="form-group">
    <small><label class="font-weight-light text-muted" for="firstName">First name</label></small>
    <input class="form-control" type="text" maxlength="255" name="firstName" id="firstName" placeholder="" onchange="applyValidationStyle(this)" required="">
  </div>
  <div class="form-group">
    <small><label class="font-weight-light text-muted" for="lastName">Last name</label></small>
    <input class="form-control" type="text" maxlength="255" name="lastName" id="lastName" placeholder="" onchange="applyValidationStyle(this)" required="">
  </div>
  <div class="form-group">
    <small><label class="font-weight-light text-muted" for="userEmail">Email address</label></small>
    <input class="form-control" type="email" maxlength="255" name="userEmail" id="userEmail" placeholder="" onchange="applyValidationStyle(this)" required="">
  </div>
  <div class="form-group">
    <small><label class="font-weight-light text-muted" for="country">Country</label></small>
    <select class="form-control" name="country" id="country" onchange="handleCountryUpwork(this)" required="">
      <option value="" disabled="" selected="">&nbsp;</option>
      <option value="Afghanistan">Afghanistan</option>
      <option value="Albania">Albania</option>
      <option value="Algeria">Algeria</option>
      <option value="Andorra">Andorra</option>
      <option value="Angola">Angola</option>
      <option value="Antigua and Barbuda">Antigua and Barbuda</option>
      <option value="Argentina">Argentina</option>
      <option value="Armenia">Armenia</option>
      <option value="Australia">Australia</option>
      <option value="Austria">Austria</option>
      <option value="Azerbaijan">Azerbaijan</option>
      <option value="Bahamas">Bahamas</option>
      <option value="Bahrain">Bahrain</option>
      <option value="Bangladesh">Bangladesh</option>
      <option value="Barbados">Barbados</option>
      <option value="Belarus">Belarus</option>
      <option value="Belgium">Belgium</option>
      <option value="Belize">Belize</option>
      <option value="Benin">Benin</option>
      <option value="Bhutan">Bhutan</option>
      <option value="Bolivia">Bolivia</option>
      <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
      <option value="Botswana">Botswana</option>
      <option value="Brazil">Brazil</option>
      <option value="Brunei">Brunei</option>
      <option value="Bulgaria">Bulgaria</option>
      <option value="Burkina Faso">Burkina Faso</option>
      <option value="Burma">Burma</option>
      <option value="Burundi">Burundi</option>
      <option value="Cabo Verde">Cabo Verde</option>
      <option value="Cambodia">Cambodia</option>
      <option value="Cameroon">Cameroon</option>
      <option value="Canada">Canada</option>
      <option value="Central African Republic">Central African Republic</option>
      <option value="Chad">Chad</option>
      <option value="Chile">Chile</option>
      <option value="China">China</option>
      <option value="Colombia">Colombia</option>
      <option value="Comoros">Comoros</option>
      <option value="Congo (Brazzaville)">Congo (Brazzaville)</option>
      <option value="Congo (Kinshasa)">Congo (Kinshasa)</option>
      <option value="Costa Rica">Costa Rica</option>
      <option value="Côte d'Ivoire">Côte d'Ivoire</option>
      <option value="Croatia">Croatia</option>
      <option value="Czech Republic">Czech Republic</option>
      <option value="Cuba">Cuba</option>
      <option value="Cyprus">Cyprus</option>
      <option value="Czechia">Czechia</option>
      <option value="Denmark">Denmark</option>
      <option value="Djibouti">Djibouti</option>
      <option value="Dominica">Dominica</option>
      <option value="Dominican Republic">Dominican Republic</option>
      <option value="Ecuador">Ecuador</option>
      <option value="Egypt">Egypt</option>
      <option value="El Salvador">El Salvador</option>
      <option value="Equatorial Guinea">Equatorial Guinea</option>
      <option value="Eritrea">Eritrea</option>
      <option value="Estonia">Estonia</option>
      <option value="Ethiopia">Ethiopia</option>
      <option value="Fiji">Fiji</option>
      <option value="Finland">Finland</option>
      <option value="France">France</option>
      <option value="Gabon">Gabon</option>
      <option value="Gambia, The">Gambia, The</option>
      <option value="Georgia">Georgia</option>
      <option value="Germany">Germany</option>
      <option value="Ghana">Ghana</option>
      <option value="Greece">Greece</option>
      <option value="Grenada">Grenada</option>
      <option value="Guatemala">Guatemala</option>
      <option value="Guinea">Guinea</option>
      <option value="Guinea-Bissau">Guinea-Bissau</option>
      <option value="Guyana">Guyana</option>
      <option value="Haiti">Haiti</option>
      <option value="Holy See">Holy See</option>
      <option value="Honduras">Honduras</option>
      <option value="Hungary">Hungary</option>
      <option value="Iceland">Iceland</option>
      <option value="India">India</option>
      <option value="Indonesia">Indonesia</option>
      <option value="Iran">Iran</option>
      <option value="Iraq">Iraq</option>
      <option value="Ireland">Ireland</option>
      <option value="Israel">Israel</option>
      <option value="Italy">Italy</option>
      <option value="Jamaica">Jamaica</option>
      <option value="Japan">Japan</option>
      <option value="Jordan">Jordan</option>
      <option value="Kazakhstan">Kazakhstan</option>
      <option value="Kenya">Kenya</option>
      <option value="Kiribati">Kiribati</option>
      <option value="North Korea">North Korea</option>
      <option value="South Korea">South Korea</option>
      <option value="Kosovo">Kosovo</option>
      <option value="Kuwait">Kuwait</option>
      <option value="Kyrgyzstan">Kyrgyzstan</option>
      <option value="Laos">Laos</option>
      <option value="Latvia">Latvia</option>
      <option value="Lebanon">Lebanon</option>
      <option value="Lesotho">Lesotho</option>
      <option value="Liberia">Liberia</option>
      <option value="Libya">Libya</option>
      <option value="Liechtenstein">Liechtenstein</option>
      <option value="Lithuania">Lithuania</option>
      <option value="Luxembourg">Luxembourg</option>
      <option value="Macedonia">Macedonia</option>
      <option value="Madagascar">Madagascar</option>
      <option value="Malawi">Malawi</option>
      <option value="Malaysia">Malaysia</option>
      <option value="Maldives">Maldives</option>
      <option value="Mali">Mali</option>
      <option value="Malta">Malta</option>
      <option value="Marshall Islands">Marshall Islands</option>
      <option value="Mauritania">Mauritania</option>
      <option value="Mauritius">Mauritius</option>
      <option value="Mexico">Mexico</option>
      <option value="Federated States of Micronesia">Federated States of Micronesia</option>
      <option value="Moldova">Moldova</option>
      <option value="Monaco">Monaco</option>
      <option value="Mongolia">Mongolia</option>
      <option value="Montenegro">Montenegro</option>
      <option value="Morocco">Morocco</option>
      <option value="Mozambique">Mozambique</option>
      <option value="Namibia">Namibia</option>
      <option value="Nauru">Nauru</option>
      <option value="Nepal">Nepal</option>
      <option value="Netherlands">Netherlands</option>
      <option value="New Zealand">New Zealand</option>
      <option value="Nicaragua">Nicaragua</option>
      <option value="Niger">Niger</option>
      <option value="Nigeria">Nigeria</option>
      <option value="Norway">Norway</option>
      <option value="Oman">Oman</option>
      <option value="Pakistan">Pakistan</option>
      <option value="Palau">Palau</option>
      <option value="Panama">Panama</option>
      <option value="Papua New Guinea">Papua New Guinea</option>
      <option value="Paraguay">Paraguay</option>
      <option value="Peru">Peru</option>
      <option value="Philippines">Philippines</option>
      <option value="Poland">Poland</option>
      <option value="Portugal">Portugal</option>
      <option value="Qatar">Qatar</option>
      <option value="Romania">Romania</option>
      <option value="Russia">Russia</option>
      <option value="Rwanda">Rwanda</option>
      <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
      <option value="Saint Lucia">Saint Lucia</option>
      <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
      <option value="Samoa">Samoa</option>
      <option value="San Marino">San Marino</option>
      <option value="Sao Tome and Principe">Sao Tome and Principe</option>
      <option value="Saudi Arabia">Saudi Arabia</option>
      <option value="Senegal">Senegal</option>
      <option value="Serbia">Serbia</option>
      <option value="Seychelles">Seychelles</option>
      <option value="Sierra Leone">Sierra Leone</option>
      <option value="Singapore">Singapore</option>
      <option value="Slovakia">Slovakia</option>
      <option value="Slovenia">Slovenia</option>
      <option value="Solomon Islands">Solomon Islands</option>
      <option value="Somalia">Somalia</option>
      <option value="South Africa">South Africa</option>
      <option value="South Sudan">South Sudan</option>
      <option value="Spain">Spain</option>
      <option value="Sri Lanka">Sri Lanka</option>
      <option value="Sudan">Sudan</option>
      <option value="Suriname">Suriname</option>
      <option value="Swaziland">Swaziland</option>
      <option value="Sweden">Sweden</option>
      <option value="Switzerland">Switzerland</option>
      <option value="Syria">Syria</option>
      <option value="Tajikistan">Tajikistan</option>
      <option value="Tanzania">Tanzania</option>
      <option value="Thailand">Thailand</option>
      <option value="Timor-Leste">Timor-Leste</option>
      <option value="Togo">Togo</option>
      <option value="Tonga">Tonga</option>
      <option value="Trinidad and Tobago">Trinidad and Tobago</option>
      <option value="Tunisia">Tunisia</option>
      <option value="Turkey">Turkey</option>
      <option value="Turkmenistan">Turkmenistan</option>
      <option value="Tuvalu">Tuvalu</option>
      <option value="Uganda">Uganda</option>
      <option value="Ukraine">Ukraine</option>
      <option value="United Arab Emirates">United Arab Emirates</option>
      <option value="United Kingdom">United Kingdom</option>
      <option value="United States">United States</option>
      <option value="Uruguay">Uruguay</option>
      <option value="Uzbekistan">Uzbekistan</option>
      <option value="Vanuatu">Vanuatu</option>
      <option value="Venezuela">Venezuela</option>
      <option value="Vietnam">Vietnam</option>
      <option value="Yemen">Yemen</option>
      <option value="Zambia">Zambia</option>
      <option value="Zimbabwe">Zimbabwe</option>
      <option value="Other">Other</option>
    </select>
  </div>
  <div class="form-group" id="california_resident" style="display:none;">
    <small>
      <label class="font-weight-light text-muted" for="firstNameAuthorized">Are you a California resident?</label>
    </small>
    <div class="custom-control custom-radio">
      <input type="radio" id="california_resident_yes" name="vmAttribute3" class="custom-control-input" value="Yes" required="" onchange="handleRegulationUpwork(this);">
      <label class="custom-control-label" for="california_resident_yes">Yes</label>
    </div>
    <div class="custom-control custom-radio">
      <input type="radio" id="california_resident_no" name="vmAttribute3" class="custom-control-input" value="No" required="" onchange="handleRegulationUpwork(this);">
      <label class="custom-control-label" for="california_resident_no">No</label>
    </div>
  </div>
  <div id="authorized_party" style="display:none;">
    <hr>
    <p class="font-weight-bold mb-2 bot"> If you are making a request on behalf of someone else, please provide your contact information so we can assist you. </p>
    <!-- Authoried Party Name  -->
    <div class="form-group">
      <small>
        <label class="font-weight-light text-muted" for="firstNameAuthorized">Your first name</label>
      </small>
      <input class="form-control" type="text" maxlength="255" name="firstNameAuthorized" id="firstNameAuthorized" placeholder="" onchange="applyValidationStyle(this)" required="">
    </div>
    <!-- Authoried Party Last Name  -->
    <div class="form-group">
      <small><label class="font-weight-light text-muted " for="lastNameAuthorized">Your last name</label></small>
      <input class="form-control" type="text" maxlength="255" name="lastNameAuthorized" id="lastNameAuthorized" placeholder="" onchange="applyValidationStyle(this)" required="">
    </div>
    <!-- Authoried Party Email  -->
    <div class="form-group">
      <small><label class="font-weight-light text-muted" for="emailAuthorized">Your email address</label></small>
      <input class="form-control" type="email" maxlength="255" name="emailAuthorized" id="emailAuthorized" placeholder="" onchange="applyValidationStyle(this)" required="">
    </div>
    <hr>
  </div>
  <p class="font-weight-bold mb-2" for="tempRequestType">What right do you wish to exercise?</p>
  <div class="form-group">
    <input type="hidden" name="requestType" id="requestType">
    <select class="form-control" name="vmAttribute1" id="tempRequestType" onchange="updateRequestType();applyValidationStyle(this);" required="">
      <option value="" disabled="" selected=""></option>
      <!--<option value="Close my account">Close my account</option> -->
      <!-- Mapped to Forget - Mapping implementation is in updateRequestType function-->
      <option value="Unsubscribe from marketing emails">Unsubscribe from marketing emails</option>
      <!-- Mapped to Object -->
      <option value="Access">Access my data</option>
      <option value="Delete">Delete my data</option>
      <option value="Know">Understand how my data is collected, processed, and shared</option>
      <option value="Rectify">Edit or update my data (please provide details below)</option>
      <option value="Data Transfer" class="gdpr-specific">Transfer/port my data (please provide details below) </option>
      <option value="Restrict" class="gdpr-specific">Other, e.g., objection to processing or requesting restrictions (please provide details below)</option>
      <option value="Other" class="ccpa-specific" disabled="disabled" style="display: none;">Other (please provide details below)</option>
      <!-- Mapped to Know -->
    </select>
  </div>
  <div class="form-group">
    <small><label class="font-weight-light text-muted" for="description">Please provide details to help us facilitate your request</label></small>
    <textarea class="form-control" name="description" id="description" maxlength="2000" rows="6" onchange="applyValidationStyle(this)" required=""></textarea>
  </div>
  <div class="form-group" style="display: none;" id="authorization_and_acknowledgement_section">
    <p class="font-weight-bold mb-2">Authorization and Acknowledgement</p>
    <div class="custom-control custom-checkbox">
      <input class="custom-control-input" type="checkbox" id="acknowledgement" name="acknowledgement" value="acknowledgement" onchange="applyValidationStyle(this)" required="" data-no-submit="">
      <label for="acknowledgement" class="custom-control-label ccpa-specific" style="display: none;">By submitting this form, I certify under penalty of perjury that I am a California resident, that all information provided here is true and accurate
        to the best of my knowledge, that I have carefully read the information contained in this form, and that I am the individual, or authorized agent of the individual, whose information is the subject of this request.</label>
      <label for="acknowledgement" class="custom-control-label gdpr-specific">By submitting this form, I confirm that the information provided here is accurate and complete to the best of my knowledge and that I have carefully read the information
        contained in this form.</label>
    </div>
    <div class="custom-control custom-checkbox">
      <input class="custom-control-input" type="checkbox" id="authorization" name="authorization" value="isAuthorized" onchange="applyValidationStyle(this)" required="" data-no-submit="">
      <label for="authorization" class="custom-control-label ccpa-specific" style="display: none;">I understand that additional information may be required to process the request, including information to verify identity or to clarify or confirm the
        request, and that failure to provide this information will impair Upwork’s ability to fulfill the request in a timely and effective manner.</label>
      <label for="authorization" class="custom-control-label gdpr-specific">I understand that additional information may be required to process the request, including information to verify identity or to clarify the request, and that failure to
        provide this information will impair Upwork’s ability to fulfill the request in a timely and effective manner.</label>
    </div>
  </div>
  <!-- Button-->
  <div class="form-inline">
    <button type="submit" class="btn btn-primary btn-block w-25 mr-auto"> Submit </button>
    <div class="powered_by align-self-center text-right">
      <small><span class="font-weight-light text-muted">Powered by </span></small><strong style="color:#dc472f;">CENTRL</strong>
    </div>
  </div>
</form>

Text Content

SUBMIT A REQUEST

Please fill out the following details as accurately as possible so we can
validate and process your data request.

Are you making a request on your own behalf?

Yes, I am making a request on my own behalf.
No, I am making a request on behalf of someone else.

Who is this request about?

Relationship to our organization Customer Other
First name
Last name
Email address
Country   Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda
Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh
Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina
Botswana Brazil Brunei Bulgaria Burkina Faso Burma Burundi Cabo Verde Cambodia
Cameroon Canada Central African Republic Chad Chile China Colombia Comoros Congo
(Brazzaville) Congo (Kinshasa) Costa Rica Côte d'Ivoire Croatia Czech Republic
Cuba Cyprus Czechia Denmark Djibouti Dominica Dominican Republic Ecuador Egypt
El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon
Gambia, The Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau
Guyana Haiti Holy See Honduras Hungary Iceland India Indonesia Iran Iraq Ireland
Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South
Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya
Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives
Mali Malta Marshall Islands Mauritania Mauritius Mexico Federated States of
Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Namibia Nauru
Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau
Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania
Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines
Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles
Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa
South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria
Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia
Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom
United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Yemen Zambia Zimbabwe
Other
Are you a California resident?
Yes
No

--------------------------------------------------------------------------------

If you are making a request on behalf of someone else, please provide your
contact information so we can assist you.

Your first name
Your last name
Your email address

--------------------------------------------------------------------------------

What right do you wish to exercise?

Unsubscribe from marketing emails Access my data Delete my data Understand how
my data is collected, processed, and shared Edit or update my data (please
provide details below) Transfer/port my data (please provide details below)
Other, e.g., objection to processing or requesting restrictions (please provide
details below) Other (please provide details below)
Please provide details to help us facilitate your request

Authorization and Acknowledgement

By submitting this form, I certify under penalty of perjury that I am a
California resident, that all information provided here is true and accurate to
the best of my knowledge, that I have carefully read the information contained
in this form, and that I am the individual, or authorized agent of the
individual, whose information is the subject of this request. By submitting this
form, I confirm that the information provided here is accurate and complete to
the best of my knowledge and that I have carefully read the information
contained in this form.
I understand that additional information may be required to process the request,
including information to verify identity or to clarify or confirm the request,
and that failure to provide this information will impair Upwork’s ability to
fulfill the request in a timely and effective manner. I understand that
additional information may be required to process the request, including
information to verify identity or to clarify the request, and that failure to
provide this information will impair Upwork’s ability to fulfill the request in
a timely and effective manner.
Submit
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ONE MORE STEP...

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inside this email, we will begin processing your request.

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