Authorization to act on my behalf (data removal)

I, {full_name}, authorize the operator of this tool to act as my agent for the limited purpose of removing my personal information from data brokers and people-search websites, including submitting opt-out, deletion, and do-not-sell/share requests under applicable privacy laws (e.g. CCPA/CPRA, GDPR) on my behalf.

This authorization is limited to data removal. It does not authorize any other use of my information.

• Full name: {full_name}
• Date: {date}
• Signature: ______________________________

Store the signed copy at the path recorded in the dossier consent.authorization_artifact. Required only when consent.method is written_authorization or poa (not for self).