Please do not enter sensitive personal information or protected health information into this form.
We will confirm receipt of a request submitted via this DSR form within ten (10) business days. If you do not receive confirmation within the 10-day timeframe, please email us at
[email protected] . EIMF will do its best to substantively respond to such a request within one month of the date of your request. If your request is unclear or complex, it may take longer for us to respond.