{"id":36332,"date":"2023-06-02T10:27:22","date_gmt":"2023-06-02T14:27:22","guid":{"rendered":"https:\/\/www.dailypay.com\/?page_id=36332"},"modified":"2026-02-27T15:54:37","modified_gmt":"2026-02-27T20:54:37","slug":"privacy-form","status":"publish","type":"page","link":"https:\/\/www.dailypay.com\/en-us\/legal\/privacy-form\/","title":{"rendered":"Privacy Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"36332\" class=\"elementor elementor-36332\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5d9f1f16 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5d9f1f16\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element 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data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_1' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">DailyPay Privacy<\/h2>\n                            <p class='gform_description'>You can use this form to submit a request regarding your personal information.<\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/wp-json\/wp\/v2\/pages\/36332' data-formid='1' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LdlBjQqAAAAAInyKALcf1XxhZ1zRK_WDn3KOJ3l' data-tabindex='0'><input id=\"input_9e4ac593f2b5cde8e633ad1c4ff5c880\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_9e4ac593f2b5cde8e633ad1c4ff5c880\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_39\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_39'>Email<\/label><div class='ginput_container'><input name='input_39' id='input_1_39' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_1_39'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_1_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_1'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_1_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_7'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_1_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_6\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_6'>Email receiving DailyPay communications<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_1_6' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_1_10\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_10'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_10' id='input_1_10' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_31\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_31'>Employee ID<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_1_31' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_32'>Employer Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_1_32' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_37\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_37'>Have you already activated your DailyPay Account?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_37' id='input_1_37' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_1_8\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_8'>State<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_1_8' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >Select State<\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select><\/div><\/div><fieldset id=\"field_1_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Selection the option<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_29'>\n\t\t\t<div class='gchoice gchoice_1_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='&lt;span class=&quot;choices-title&quot;&gt;Deletion&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot;&gt;You may request that DailyPay delete your personal information. We delete the personal information we have at that time, with limited exceptions.&lt;\/span&gt;&lt;span class=&quot;choices-desc&quot; style=&quot;margin-top: 16px&quot;&gt;We may receive additional information from your employer. To ensure we delete the data we have &lt;b&gt;and&lt;\/b&gt; no longer receive your data, &lt;b&gt;first&lt;\/b&gt;, inform your employer that you no longer wish for your data to be shared with DailyPay, &lt;b&gt;then&lt;\/b&gt; complete submission of the Privacy Form.&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot; style=&quot;margin-top: 16px&quot;&gt;&lt;b&gt;Please note&lt;\/b&gt;, this decision will permanently remove access from the DailyPay benefit from this email address and phone number and is not reversible once complete. You will not be able to create an account with DailyPay in the future with the same account credentials.&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot; style=&quot;margin-top: 16px&quot;&gt;If your goal is to only unsubscribe from DailyPay emails,\u00a0while retaining the ability to use DailyPay in the future, simply select the unsubscribe link at the bottom of a received DailyPay email.&lt;\/span&gt;'  id='choice_1_29_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_29_0' id='label_1_29_0' class='gform-field-label gform-field-label--type-inline'><span class=\"choices-title\">Deletion<\/span> <span class=\"choices-desc\">You may request that DailyPay delete your personal information. We delete the personal information we have at that time, with limited exceptions.<\/span><span class=\"choices-desc\" style=\"margin-top: 16px\">We may receive additional information from your employer. To ensure we delete the data we have <b>and<\/b> no longer receive your data, <b>first<\/b>, inform your employer that you no longer wish for your data to be shared with DailyPay, <b>then<\/b> complete submission of the Privacy Form.<\/span> <span class=\"choices-desc\" style=\"margin-top: 16px\"><b>Please note<\/b>, this decision will permanently remove access from the DailyPay benefit from this email address and phone number and is not reversible once complete. You will not be able to create an account with DailyPay in the future with the same account credentials.<\/span> <span class=\"choices-desc\" style=\"margin-top: 16px\">If your goal is to only unsubscribe from DailyPay emails,\u00a0while retaining the ability to use DailyPay in the future, simply select the unsubscribe link at the bottom of a received DailyPay email.<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='&lt;span class=&quot;choices-title&quot;&gt;Correction&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot;&gt;In addition to the capability to correct inaccurate personal information identified in \u201cAccess\/Accuracy\u201d above (8.0), DailyPay will assist your employer or in our own discretion, directly correct valid requests to correct inaccurate personal information, to the extent doing so is neither impossible nor requires disproportionate efforts.&lt;\/span&gt;'  id='choice_1_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_29_1' id='label_1_29_1' class='gform-field-label gform-field-label--type-inline'><span class=\"choices-title\">Correction<\/span> <span class=\"choices-desc\">In addition to the capability to correct inaccurate personal information identified in \u201cAccess\/Accuracy\u201d above (8.0), DailyPay will assist your employer or in our own discretion, directly correct valid requests to correct inaccurate personal information, to the extent doing so is neither impossible nor requires disproportionate efforts.<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_29_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='&lt;span class=&quot;choices-title&quot;&gt;Access&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot;&gt;You can request a copy of the personal information that we maintain about you&lt;\/span&gt;'  id='choice_1_29_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_29_2' id='label_1_29_2' class='gform-field-label gform-field-label--type-inline'><span class=\"choices-title\">Access<\/span> <span class=\"choices-desc\">You can request a copy of the personal information that we maintain about you<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_29_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='&lt;span class=&quot;choices-title&quot;&gt;Opt out of sale of information&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot;&gt; You may request that DailyPay not sell your personal information (\u201copt-out\u201d). With some exceptions, businesses cannot sell your personal information after they receive your opt-out request unless you later provide authorization allowing them to do so again. DailyPay must wait at least 12 months before asking you to opt back into the sale of your personal information.&lt;\/span&gt;'  id='choice_1_29_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_29_3' id='label_1_29_3' class='gform-field-label gform-field-label--type-inline'><span class=\"choices-title\">Opt out of sale of information<\/span> <span class=\"choices-desc\"> You may request that DailyPay not sell your personal information (\u201copt-out\u201d). With some exceptions, businesses cannot sell your personal information after they receive your opt-out request unless you later provide authorization allowing them to do so again. DailyPay must wait at least 12 months before asking you to opt back into the sale of your personal information.<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_29_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='&lt;span class=&quot;choices-title&quot;&gt;Opt out of sharing or targeted ads&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot;&gt; You have the right to opt-out of user-based advertising based on personal information obtained from net activity in places other than distinctly-branded websites, applications, or services with which you intentionally interact.&lt;\/span&gt;'  id='choice_1_29_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_29_4' id='label_1_29_4' class='gform-field-label gform-field-label--type-inline'><span class=\"choices-title\">Opt out of sharing or targeted ads<\/span> <span class=\"choices-desc\"> You have the right to opt-out of user-based advertising based on personal information obtained from net activity in places other than distinctly-branded websites, applications, or services with which you intentionally interact.<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label' >Selection the option<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_30'>\n\t\t\t<div class='gchoice gchoice_1_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='&lt;span class=&quot;choices-title&quot;&gt;Deletion&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot;&gt;You can ask to delete the personal information that we maintain about you.&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot; style=&quot;margin-top: 16px&quot;&gt;&lt;b&gt;Please note&lt;\/b&gt;, the decision to delete your personal information is permanent and you would be prohibited from creating an account with DailyPay in the future with the same account credentials.&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot; style=&quot;margin-top: 16px&quot;&gt;If your goal is to only unsubscribe from DailyPay emails with the ability to use DailyPay in the future, simply select the unsubscribe link at the bottom of a received DailyPay email.&lt;\/span&gt;     &lt;span class=&quot;choices-desc&quot; style=&quot;margin-top: 16px&quot;&gt;If you would like to permanently remove your information from being sent to DailyPay by your employer, please progress with submitting this Privacy Form. This will permanently remove access from the DailyPay benefit from this email address and phone number and is not reversible once complete.&lt;\/span&gt;'  id='choice_1_30_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_30_0' id='label_1_30_0' class='gform-field-label gform-field-label--type-inline'><span class=\"choices-title\">Deletion<\/span> <span class=\"choices-desc\">You can ask to delete the personal information that we maintain about you.<\/span> <span class=\"choices-desc\" style=\"margin-top: 16px\"><b>Please note<\/b>, the decision to delete your personal information is permanent and you would be prohibited from creating an account with DailyPay in the future with the same account credentials.<\/span> <span class=\"choices-desc\" style=\"margin-top: 16px\">If your goal is to only unsubscribe from DailyPay emails with the ability to use DailyPay in the future, simply select the unsubscribe link at the bottom of a received DailyPay email.<\/span>     <span class=\"choices-desc\" style=\"margin-top: 16px\">If you would like to permanently remove your information from being sent to DailyPay by your employer, please progress with submitting this Privacy Form. This will permanently remove access from the DailyPay benefit from this email address and phone number and is not reversible once complete.<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='&lt;span class=&quot;choices-title&quot;&gt;Correction&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot;&gt;In addition to the capability to correct inaccurate personal information identified in \u201cAccess\/Accuracy\u201d above (8.0), DailyPay will assist your employer or in our own discretion, directly correct valid requests to correct inaccurate personal information, to the extent doing so is neither impossible nor requires disproportionate efforts.&lt;\/span&gt;'  id='choice_1_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_30_1' id='label_1_30_1' class='gform-field-label gform-field-label--type-inline'><span class=\"choices-title\">Correction<\/span> <span class=\"choices-desc\">In addition to the capability to correct inaccurate personal information identified in \u201cAccess\/Accuracy\u201d above (8.0), DailyPay will assist your employer or in our own discretion, directly correct valid requests to correct inaccurate personal information, to the extent doing so is neither impossible nor requires disproportionate efforts.<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_30_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='&lt;span class=&quot;choices-title&quot;&gt;Access&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot;&gt;You can request a copy of the personal information that we maintain about you&lt;\/span&gt;'  id='choice_1_30_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_30_2' id='label_1_30_2' class='gform-field-label gform-field-label--type-inline'><span class=\"choices-title\">Access<\/span> <span class=\"choices-desc\">You can request a copy of the personal information that we maintain about you<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_30_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='&lt;span class=&quot;choices-title&quot;&gt;Opt out of sale of information&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot;&gt; You may request that DailyPay not sell your personal information (\u201copt-out\u201d). With some exceptions, businesses cannot sell your personal information after they receive your opt-out request unless you later provide authorization allowing them to do so again. DailyPay must wait at least 12 months before asking you to opt back into the sale of your personal information.&lt;\/span&gt;'  id='choice_1_30_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_30_3' id='label_1_30_3' class='gform-field-label gform-field-label--type-inline'><span class=\"choices-title\">Opt out of sale of information<\/span> <span class=\"choices-desc\"> You may request that DailyPay not sell your personal information (\u201copt-out\u201d). With some exceptions, businesses cannot sell your personal information after they receive your opt-out request unless you later provide authorization allowing them to do so again. DailyPay must wait at least 12 months before asking you to opt back into the sale of your personal information.<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_30_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='&lt;span class=&quot;choices-title&quot;&gt;Opt out of sharing or targeted ads&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot;&gt; You have the right to opt-out of user-based advertising based on personal information obtained from net activity in places other than distinctly-branded websites, applications, or services with which you intentionally interact.&lt;\/span&gt;'  id='choice_1_30_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_30_4' id='label_1_30_4' class='gform-field-label gform-field-label--type-inline'><span class=\"choices-title\">Opt out of sharing or targeted ads<\/span> <span class=\"choices-desc\"> You have the right to opt-out of user-based advertising based on personal information obtained from net activity in places other than distinctly-branded websites, applications, or services with which you intentionally interact.<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_34\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label' >Selection the option<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_34'>\n\t\t\t<div class='gchoice gchoice_1_34_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='&lt;span class=&quot;choices-title&quot;&gt;Deletion&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot;&gt;You can ask to delete the personal information that we maintain about you.&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot; style=&quot;margin-top: 16px&quot;&gt;&lt;b&gt;Please note&lt;\/b&gt;, the decision to delete your personal information is permanent and you would be prohibited from creating an account with DailyPay in the future with the same account credentials.&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot; style=&quot;margin-top: 16px&quot;&gt;If your goal is to only unsubscribe from DailyPay emails with the ability to use DailyPay in the future, simply select the unsubscribe link at the bottom of a received DailyPay email.&lt;\/span&gt;     &lt;span class=&quot;choices-desc&quot; style=&quot;margin-top: 16px&quot;&gt;If you would like to permanently remove your information from being sent to DailyPay by your employer, please progress with submitting this Privacy Form. This will permanently remove access from the DailyPay benefit from this email address and phone number and is not reversible once complete.&lt;\/span&gt;'  id='choice_1_34_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_34_0' id='label_1_34_0' class='gform-field-label gform-field-label--type-inline'><span class=\"choices-title\">Deletion<\/span> <span class=\"choices-desc\">You can ask to delete the personal information that we maintain about you.<\/span> <span class=\"choices-desc\" style=\"margin-top: 16px\"><b>Please note<\/b>, the decision to delete your personal information is permanent and you would be prohibited from creating an account with DailyPay in the future with the same account credentials.<\/span> <span class=\"choices-desc\" style=\"margin-top: 16px\">If your goal is to only unsubscribe from DailyPay emails with the ability to use DailyPay in the future, simply select the unsubscribe link at the bottom of a received DailyPay email.<\/span>     <span class=\"choices-desc\" style=\"margin-top: 16px\">If you would like to permanently remove your information from being sent to DailyPay by your employer, please progress with submitting this Privacy Form. This will permanently remove access from the DailyPay benefit from this email address and phone number and is not reversible once complete.<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_34_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='&lt;span class=&quot;choices-title&quot;&gt;Correction&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot;&gt;In addition to the capability to correct inaccurate personal information identified in \u201cAccess\/Accuracy\u201d above (8.0), DailyPay will assist your employer or in our own discretion, directly correct valid requests to correct inaccurate personal information, to the extent doing so is neither impossible nor requires disproportionate efforts.&lt;\/span&gt;'  id='choice_1_34_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_34_1' id='label_1_34_1' class='gform-field-label gform-field-label--type-inline'><span class=\"choices-title\">Correction<\/span> <span class=\"choices-desc\">In addition to the capability to correct inaccurate personal information identified in \u201cAccess\/Accuracy\u201d above (8.0), DailyPay will assist your employer or in our own discretion, directly correct valid requests to correct inaccurate personal information, to the extent doing so is neither impossible nor requires disproportionate efforts.<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_34_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='&lt;span class=&quot;choices-title&quot;&gt;Access&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot;&gt;You can request a copy of the personal information that we maintain about you&lt;\/span&gt;'  id='choice_1_34_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_34_2' id='label_1_34_2' class='gform-field-label gform-field-label--type-inline'><span class=\"choices-title\">Access<\/span> <span class=\"choices-desc\">You can request a copy of the personal information that we maintain about you<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_34_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='&lt;span class=&quot;choices-title&quot;&gt;Opt out of sale of information&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot;&gt; You may request that DailyPay not sell your personal information (\u201copt-out\u201d). With some exceptions, businesses cannot sell your personal information after they receive your opt-out request unless you later provide authorization allowing them to do so again. DailyPay must wait at least 12 months before asking you to opt back into the sale of your personal information.&lt;\/span&gt;'  id='choice_1_34_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_34_3' id='label_1_34_3' class='gform-field-label gform-field-label--type-inline'><span class=\"choices-title\">Opt out of sale of information<\/span> <span class=\"choices-desc\"> You may request that DailyPay not sell your personal information (\u201copt-out\u201d). With some exceptions, businesses cannot sell your personal information after they receive your opt-out request unless you later provide authorization allowing them to do so again. DailyPay must wait at least 12 months before asking you to opt back into the sale of your personal information.<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_34_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='&lt;span class=&quot;choices-title&quot;&gt;Opt out of sharing or targeted ads&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot;&gt; You have the right to opt-out of user-based advertising based on personal information obtained from net activity in places other than distinctly-branded websites, applications, or services with which you intentionally interact.&lt;\/span&gt;'  id='choice_1_34_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_34_4' id='label_1_34_4' class='gform-field-label gform-field-label--type-inline'><span class=\"choices-title\">Opt out of sharing or targeted ads<\/span> <span class=\"choices-desc\"> You have the right to opt-out of user-based advertising based on personal information obtained from net activity in places other than distinctly-branded websites, applications, or services with which you intentionally interact.<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_27\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Selection the option<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_27'>\n\t\t\t<div class='gchoice gchoice_1_27_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='&lt;span class=&quot;choices-title&quot;&gt;Deletion&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot;&gt;You may request that DailyPay delete your personal information. We delete the personal information we have at that time, with limited exceptions.&lt;\/span&gt;&lt;span class=&quot;choices-desc&quot; style=&quot;margin-top: 16px&quot;&gt;We may receive additional information from your employer. To ensure we delete the data we have &lt;b&gt;and&lt;\/b&gt; no longer receive your data, &lt;b&gt;first&lt;\/b&gt;, inform your employer that you no longer wish for your data to be shared with DailyPay, &lt;b&gt;then&lt;\/b&gt; complete submission of the Privacy Form.&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot; style=&quot;margin-top: 16px&quot;&gt;&lt;b&gt;Please note&lt;\/b&gt;, this decision will permanently remove access from the DailyPay benefit from this email address and phone number and is not reversible once complete. You will not be able to create an account with DailyPay in the future with the same account credentials.&lt;\/span&gt; &lt;span class=&quot;choices-desc&quot; style=&quot;margin-top: 16px&quot;&gt;If your goal is to only unsubscribe from DailyPay emails,\u00a0while retaining the ability to use DailyPay in the future, simply select the unsubscribe link at the bottom of a received DailyPay email.&lt;\/span&gt;'  id='choice_1_27_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_27_0' id='label_1_27_0' class='gform-field-label gform-field-label--type-inline'><span class=\"choices-title\">Deletion<\/span> <span class=\"choices-desc\">You may request that DailyPay delete your personal information. We delete the personal information we have at that time, with limited exceptions.<\/span><span class=\"choices-desc\" style=\"margin-top: 16px\">We may receive additional information from your employer. To ensure we delete the data we have <b>and<\/b> no longer receive your data, <b>first<\/b>, inform your employer that you no longer wish for your data to be shared with DailyPay, <b>then<\/b> complete submission of the Privacy Form.<\/span> <span class=\"choices-desc\" style=\"margin-top: 16px\"><b>Please note<\/b>, this decision will permanently remove access from the DailyPay benefit from this email address and phone number and is not reversible once complete. You will not be able to create an account with DailyPay in the future with the same account credentials.<\/span> <span class=\"choices-desc\" style=\"margin-top: 16px\">If your goal is to only unsubscribe from DailyPay emails,\u00a0while retaining the ability to use DailyPay in the future, simply select the unsubscribe link at the bottom of a received DailyPay email.<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_38\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_38'>CAPTCHA<\/label><div id='input_1_38' class='ginput_container ginput_recaptcha' data-sitekey='6Ld2CDQqAAAAACZPO2ELTe6AOWlWTKJA-osSunse'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input 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