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Submit a Privacy Request

By using this form, you can request to exercise privacy rights, which can vary based on your jurisdiction. You may also submit a request to exercise these rights by emailing us at privacy@revance.com. For more information, please see our privacy notice.

Instructions

Please complete all required fields.*

We will use and retain the information collected on this form only to process your request.

How would you like us to contact you in regards to this request?*

If you provided an email address to us as part of submitting this request, you consent to receive electronic communications (email) from us regarding your request.

I am an:*

Please select the type of available request you wish to make (and please see our privacy policy for more information on what rights we afford and do not afford).*

Revance does not engage in the sale or sharing of your personal information/profiling or automated decision making, therefore we do not offer this right.

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Submit a request on behalf of someone else

If you are making a rights request on behalf of someone else, please e-mail a copy of your signed authorization letter to privacy@revance.com. We may require the person to verify their identity with us directly and that you have been authorized to submit a request on their behalf. If we verify that you are authorized to correct the requested personal information, we will contact you to collect additional information.

By submitting this form, you agree, on penalty of perjury or other criminal offense under applicable law, either that you are the individual about whom this request for personal information relates, or that you are authorized by that individual to submit this request on their behalf.