Data Subject Request (DSR) Form

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Please fill out the below Roche / Genentech Data Subject Request (DSR) form and describe your request. This form is directed to US residents who have certain rights as data subjects in relation to their personal data under some state or federal laws.

If your request is to access, obtain copies of, correct, amend, rectify, or delete your personal data, or to limit the transfer of your data to certain 3rd parties, we may need to contact you and request additional information to verify your identity before processing your request. Additionally, depending on the scope of your request, we may be limited in how we can respond.

Information collected via this form and related to your request will be handled by Roche / Genentech's data protection officers and their teams, and our Privacy Operations teams. It will be used solely for the purpose of answering your question(s) and processing your request. Information provided on this form is not intended to be used for any other purpose or shared with other parties unless necessary to fulfill your request.

If you are a resident of certain US states, you may have additional data subject rights, which are summarized here:

Roche US Supplemental Privacy Notice
RDS/RIS US Privacy Notice (including Roche Diagnostics Solutions and Roche Information Solutions, including Roche Molecular Systems, Inc., Roche Sequencing Solutions, Inc., Ventana Medical Systems, Inc., and GenMark Diagnostics, Inc.)
Roche Diagnostics US Privacy Notice
Roche Diabetes Care, Inc. US Privacy Notice
Genentech Privacy Notice

If you do not wish to use this form, you may submit your DSR by reaching out using the following alternate options:

Call us at: 800-975-7105 (available only during regular business hours Pacific Time)

Residents Outside the United States

If you are from outside the United States: please visit the following privacy statement for Global Roche Privacy Notice.

United States Residents

We are not accepting requests from individuals in states other than CA, CO, CT, NV, UT, VA or WA at this time. If you are not a resident of any of these states, please do NOT continue.

Required Information
We will use this information to request additional documentation to verify or clarify your request. We may also use this information for preliminary identification and verification of your records in our systems (depending on the nature of your request). For this reason, it is recommended that you provide the contact information that we are most likely to have on file to help us confirm your identity and fulfill your request.

I am making this request
*

On my own behalf

On behalf of another person (we will require information about your relationship to the data subject about whom the records relate)

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