Data Subject Request Form

If you are a customer of one of our merchant partners and would like to exercise your data protection rights regarding personal information processed by Mighty Clover LLC, please complete this form.

Your Rights

Under applicable data protection laws, you may have the following rights:

Right of Access: Obtain confirmation that your personal data is being processed and access to that data
Right to Rectification: Have inaccurate personal data corrected
Right to Erasure: Have your personal data deleted in certain circumstances
Right to Restrict Processing: Limit how your personal data is processed
Right to Data Portability: Receive your data in a structured, commonly used format
Right to Object: Object to processing based on legitimate interests

Important Notice

We act as a data processor for merchants who use our payment recovery services. In most cases, your request should be directed to the merchant (the data controller) where you made your original purchase. However, we will process your request if it specifically relates to our processing activities.

Request Form

First Name *

Last Name *

Email Address *

Merchant/Company Name *

Type of Request *

Request Details *

Verification Information (optional)

Identity Verification

To protect your privacy, we may require proof of identity. Please attach a copy of your government-issued ID if requested.

I confirm that the information provided is accurate and that I am the data subject or have authorization to act on behalf of the data subject. *

What Happens Next?

Acknowledgment: We will acknowledge receipt of your request within 48 hours
Verification: We may request additional information to verify your identity
Processing: We will process your request within 30 days (may be extended in complex cases)
Response: You will receive our response via email or secure delivery method

Alternative Contact Methods

You may also submit your request by:

Email: info@flowbackpay.com
Mail: [Insert Physical Address]
Phone: [Insert Phone Number]

Need Help?

If you're unsure whether we process your personal data or need assistance with this form, please contact us directly. We're here to help you exercise your privacy rights.

This form is provided to facilitate data subject rights requests. All requests will be processed in accordance with applicable data protection laws.