Personal data request Form

This Form should be used to submit a data subject request under the provisions of the EU General Data Protection Regulation (GDPR) and other applicable legislation. Once we have verified that you meet the criteria for disclosure of data under the EU General Data Protection Regulation, or any other applicable laws and regulations, and have provided sufficient information for us to confirm your identity, you will receive a reply within one calendar month from that date, depending on local legislation.

Please complete the below sections as required. If you have any questions, you may contact DataPrivacy@ascendispharma.com.

Section 1 - Requestor Details
Name*
First Last
Email*
Relationship to Ascendis Pharma*
Proof of ID*
Please upload a copy of requestor's passport or driver’s license.
Accepted file types: jpg, jpeg, png, pdf, gif, Max. file size: 50 MB.
Section 2 – Details of Information required
Request Details*
- Consent withdrawal
- Access request
- Rectification and completion of personal data
- Deletion of personal data
- Restriction of processing of personal data
- Personal data portability request
- Objection to processing of personal data
- Request regarding automated decision making and profiling
Description of Request*
Detailed description of your request including other information that may assist Ascendis Pharma in running an inquiry for the requested personal data.
Identity of Person Submitting This Form*
- I am the Requestor
- I am a Representative working on behalf of the Requestor
Section 3 – Representative Details
Name*
First Last
Company name (if relevant)
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Proof of ID*
Please upload a copy of representative's passport or driver’s license.
Accepted file types: jpg, jpeg, png, pdf, gif, Max. file size: 50 MB.
Section 4 – Authorization to disclose Information to a Representative
You must obtain authority from the Requestor before personal data can be disclosed – see Authorization Form. The Authorization Form must be signed by you and the Requestor.
1. Download Authorization Form
2. Print and sign the form
3. Scan the signed form and upload below
Upload Signed Authorization Form*
Accepted file types: jpg, jpeg, png, pdf, gif, Max. file size: 50 MB.
Submit Your Request
Before you click submit, please make sure that you have filled out the Request Form correctly and attached all necessary documents.

Section 1 - Requestor Details

Section 2 – Details of Information required

Section 3 – Representative Details

Section 4 – Authorization to disclose Information to a Representative

Submit Your Request