Template
[Your Name]
[Your Address]
[Date]
Privacy Officer
[Organization Name]
Re: Withdrawal of Consent
Dear Privacy Officer,
I am writing to withdraw my consent to the following uses and disclosures of my personal information:
[List the specific uses, such as marketing emails, sharing with partner companies, profiling for advertising, etc.]
Please:
(a) Stop the above uses and disclosures within [reasonable time, e.g., 10 business days].
(b) Notify any third parties that previously received my information for these purposes.
(c) Confirm in writing once the withdrawal has been implemented.
I understand that withdrawal may affect my ability to receive certain services, and I accept those consequences.
Sincerely,
[Your Name]
[Account or file number]
Tips
Withdrawal tips:
- Be specific about what you are withdrawing consent for (marketing, profiling, third-party sharing).
- Distinguish between what you consent to (e.g., transaction processing) and what you do not.
- Keep proof of the date you sent the withdrawal.
- Follow up if you continue to receive the relevant communications.