Client Services Login

Privacy Request Form

Use this form to exercise your privacy rights. We use the information you submit only to verify your identity, process your request, and communicate with you about it.

Fields marked with are required.

Contact information
Relationship to Ataraxis
State of residence
Type of privacy request

Select all that apply.

Additional information
Authorized agent
Identity verification acknowledgement

By submitting this request, I certify that the information provided is accurate and complete to the best of my knowledge. I understand that Ataraxis may require additional information to verify my identity before responding to this request and may be unable to fulfill the request if identity cannot be reasonably verified.

Important notice for employees of client companies

Ataraxis provides HR, payroll, benefits administration, compliance, and related services on behalf of client employers. Certain privacy requests involving employment-related records may need to be reviewed, verified, or fulfilled in coordination with the applicable employer, which may be responsible for determining how personal information is collected, used, and maintained.

How we use information submitted through this form

Information submitted through this form will be used solely to:

  • Verify your identity
  • Evaluate and process your request
  • Communicate with you regarding your request
  • Comply with applicable privacy laws and legal obligations

Information submitted through this form will not be used for marketing purposes.

If you prefer not to use this form, email privacy@ataraxis.com or call 208-906-2636. Please allow reasonable time for verification and processing as permitted by applicable law.