Right to Access Form

State and federal laws provide individuals (or data subjects) with certain rights related to their personal information. These rights allow you to make Data Subject Access Requests or DSARs to businesses that collect personal information (PI) about you. These rights include:

the right to know/receive an accounting of your PI
the right to access your PI
the right to correct your PI
the right to request deletion of certain PI

NAU Country does not sell customer PI or share it with unaffiliated third parties. Limited sharing of PI occurs to administer and service accounts. For this reason, NAU Country does not provide an option to “opt out” of sharing PI.

As an Approved Insurance Provider under the Federal Crop Insurance Corporation, NAU Country is governed by the Federal the Gramm-Leach Bliley Act (GLBA), the Federal Crop Insurance Act and enabling regulations, and state laws related to insurance privacy and data security. Timelines for NAU Country to respond to DSARs vary by state and by the nature of the request (generally within 10 – 30 days). Where possible, NAU Country will honor all requests related to PI, provided they do not conflict with data retention policies or other laws.

To submit a data subject access request, including a request to delete certain information collected about you, you may:

Contact us by phone at: 866.942.6724
Contact us by fax at 763.427.6473
Email us at callcenter@naucountry.com
Complete the form below.

Submitter Information

Who are you submitting this request for?

If you selected "Self" proceed to "Request Details - Consumer Information.

If other than "Self," complete the section below before advancing to “Request Details – Consumer Information.”

What is your relationship to the consumer?

Submitter First Name:

Submitter Last Name:

Submitter Phone Number:

Submitter Email Address:

Request Details - Consumer Information

First name

Last name

Phone Number

Email Address

Address

City, State, Zip

Request Type:

Does this request relate to a policy of insurance written by NAU Country?

Type of Policy:

If yes, policy number:

Dates that policy was held (estimate if necessary):

If no, describe the data that is the subject of your request (Include how the data was collected, estimated dates of collection and any other necessary details to assist us in locating the data. We may ask you to verify your identity or provide additional information to assist in meeting your request).

Contact Preference

Phone

Your Personal Information Rights:

Submitter Information

Request Details - Consumer Information