One Trust Privacy Management

Welcome to Prudential's Data Request Form!

Curious about how we protect your information?

Need additional assistance?

Please refer to our Frequently Asked Questions (FAQs) for help with your request or contact our Call Center at 1-844-PRU-DSAR (778-3727).

If you do not see the request type you are looking for, please contact our Call Center at 1-844-PRU-DSAR (778-3727).

The security of your information is of the utmost importance to us.

Prudential collects the information below solely to authenticate your identity and retrieve your information.

While Prudential will do all it can to honor your request, we may not be able to in certain circumstances. Please see our Frequently Asked Questions (FAQs) for more information.

If this request pertains to Long Term Care Insurance or Individual Health Insurance, please direct your request to the below email or telephone number.

HIPAA Privacy Officer at Email: HIPAAPrivacyOfficer@prudential.com

Prudential Long-Term Care Insurance

Telephone Number: 800-732-0416

Prudential Individual Health Insurance

Telephone Number: 800-828-0153

If this request pertains to your Retirement or Empower account, please direct your request to your Plan Sponsor.

If you have additional questions, please direct your request to the below email or telephone number.

PrivacyMatters@empower.com, or
Empower 855-756-4738

If this request pertains to High Peak Innovations, LLC, please direct your request to the below email:

High Peak Innovations : support@highpeak.ai

What is your relationship with Prudential? - I am a

Required

Please select your request type

Required

Select the business(es)/products you best align with:

If the entity name does not appear, your request may be aligned to one of our service providers or third parties where your relationship is directly with that entity. For assistance, please call our DSAR Call Center.

First Name

Enter the first name of the data subject

Middle Name

Last Name

Enter the last name of the data subject

Account Number, Policy Number, or Last 4 SSN

If you do not have an Account or Policy Number, please provide your Member ID, or Financial Professional's name.

Enter email for correspondence with the data request.

Please confirm your Email

Year of Birth - YYYY

Phone Number

Enter the phone number of the data subject

Country of Residence

Enter country of residence.

State of Residence

Zip Code or International Postal Code

I do hereby certify, declare, and affirm that the information I supplied is true and correct, that I am either (i) the consumer identified in this request, or (ii) authorized to make this request on behalf of the consumer. I understand that Prudential will solely rely on the information provided by me in this form to fulfill this request.

Required