To submit a verified customer request to know information or for deletion, please complete the form below, or download and email the completed form to

Section 1 - Information about you or the individual whose information is being requested

Electrolux will only release information to the person that the information relates to. If the request is being made by an authorized representative, the authorized representative must also complete Section 2 below.

First Name
Last Name
Any other applicable names
Current Address
Address Line 2
Zip Code
Previous Address
Address Line 2
Zip Code
Telephone Number
Email Address
Alternate Email Address
Preferred final response method
Are you a current or previous Electrolux employee
Do you have a connected appliance?
Type of Request

Section 2 - Authorized Representative (if applicable)

(If completed, Electrolux will only reply to the address/email address in this section)

Are you acting as an Authorized Representative for another person?

Section 3 - Details of information

You have the right to access and receive a copy of the Personal Information we hold about you in manual or electronic form. Information relating to third parties which may be part of a record or other information exempt under applicable law(s) will not be provided or will be redacted (blacked out).

Type of Information - Please describe the type of information you are requesting or would like deleted.

Section 4 - Declaration if Requesting Specific Information or Deletion

I acknowledge that I am a California resident and the person making the request noted above, under the California Consumer Privacy Act. I acknowledge that I am making this request in good faith on behalf of myself. I certify and declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Signature/e-Signature of Applicant
Signature Date