Data Subject Access Request

Who are you submitting this request on behalf of?*

Myself
Authorized agent

Please use our Agent Form

Agents representing a consumer should use this form to submit a request.

Do you have an account?*

I have an active account
I don't have an active account

Please use our Login Form

In order to confirm your identity, please use this form to log into your existing account and submit a request. If you do not have an account, please click "I don't have an active account" above.

First Name Last Name

Email Address

Phone Number

Address City State Zip

What is your relationship with City Tech Solutions?

Current Client
Former Client
Service Client Only
Marketing Recipient

What type of request are you submitting?

Corrected First Name Corrected Last Name

Corrected Email Address

Corrected Phone Number

Corrected Address Corrected City Corrected State Corrected Zip

Please describe any additional corrections you would like made to your personal information:

Please enter the Vehicle Identification Number or VIN for your current vehicle, or for a vehicle that has been serviced at a Ford or Lincoln service center:

Please enter the name of the Ford or Lincoln dealership where you purchased or leased your vehicle:

Please enter the month and year during which you purchased or leased your vehicle:

Please select the make of your former Ford or Lincoln vehicle:

Please tell us the model of your former Ford or Lincoln vehicle:

Please enter the name of the Ford or Lincoln dealership where you purchased or leased your vehicle:

Please enter the month and year during which you purchased or leased your vehicle:

Please enter the Vehicle Identification Number or VIN for your current vehicle, or for a vehicle that has been serviced at a Ford or Lincoln service center:

What was the month and year of your last service appointment?