{"tenantDisplayName":"ngpvan://van/NGP/NGP50/1/103205","submissionUrl":"https://secure.ngpvan.com/v2/Forms/v-zN9Zi4p0ObKnteXUhm0w2","autoFastAction":false,"bannerImagePath":"//nvlupin.blob.core.windows.net/images/van/NGP/NGP50/1/103205/images/Ro_Khanna_Logo_Final%20resize.png","created":"2026-07-17 22:01:38Z","formVersion":"8/17/2026 6:15:22 PM|","fastAction":false,"form_elements":[{"name":"HeaderHtml","type":"markup","markup":"<p><a href=\"https://act.rokhanna.com/a/administra-tus-datos\"><span style=\"font-size:14px;\">Haz clic aquí para continuar en español.</span></a></p>\n\n<p><span style=\"font-size:14px;\">If you live in Maryland, Nebraska, New Jersey, or New Hampshire, you may have specific privacy rights. You can use this form to request access to, correct, or delete your personal information or to opt out of certain data use.&nbsp;</span></p>\n\n<p><span style=\"font-size:14px;\">You may also choose to manage your communication preferences, like email, texts, or mail. 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By opting out of this activity, we will remove you from this practice.","default_value":true,"queryString":"CustomFormFieldQuestion_2809242042862362","required":false},{"name":"CustomFormFieldQuestion_6470681663404025_CustomFormFieldQuestion_3397732425368212","type":"checkbox","title":"Sale of personal data: The campaign will never sell your data for monetary purposes. However, we may share your personal information with other aligned groups. By opting out of this activity, we will remove you from this practice.","default_value":true,"queryString":"CustomFormFieldQuestion_3397732425368212","required":false},{"name":"QuestionHtml_761004811","type":"markup","markup":"<p><span style=\"font-size:14px;\">You have the right to request that we delete the personal information we have about you, except information that is required or permitted to be kept in compliance with applicable law and obligations. If any personal information cannot be deleted, we will notify you when your request is complete.</span></p>\n\n<p><span style=\"font-size:14px;\">Once we delete your personal information, your donation and volunteer history with the campaign will be irreversibly deleted, including your association with surveys, petitions, or any other advocacy actions you may have taken on our Sites.&nbsp;</span></p>\n\n<p><span style=\"font-size:14px;\">It will also unsubscribe you from the campaign's communications and terminate any recurring donations. You may resubscribe to or re-engage with the campaign at any time. However, doing so will not restore the deleted information. If you would prefer to keep the record of your history with the campaign, but unsubscribe from communications or cancel recurring donations, or something else, please contact us at <a href=\"mailto:data@rokhanna.com\">Data@RoKhanna.com</a>.</span></p>\n"},{"name":"CustomFormFieldQuestion_9001712226558067","type":"checkbox-list-manager","title":"Delete your data: Request that we delete the personal information we have about you.","queryString":"CustomFormFieldQuestion_9001712226558067","required":false},{"name":"CustomFormFieldQuestion_9001712226558067_CustomFormFieldQuestion_3475886441336901","type":"checkbox","title":"Delete your data: Request that we delete the personal information we have about you.","default_value":false,"queryString":"CustomFormFieldQuestion_3475886441336901","required":false},{"name":"QuestionHtml_761004812","type":"markup","markup":"<p><span style=\"font-size:14px;\">You have the choice to review and correct the personal information we have about you, and to review a list of the third parties to whom we may have transferred your personal information. 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Tell us below about what information you would like to correct.","default_value":false,"queryString":"CustomFormFieldQuestion_2658197564018714","required":false},{"name":"CustomFormFieldQuestion_353960816446029_CustomFormFieldQuestion_4217417409518830","type":"checkbox","title":"Request a third-party data transfer report: You have the choice to request access to a list of third parties to whom the campaign has transferred personal information.","default_value":false,"queryString":"CustomFormFieldQuestion_4217417409518830","required":false}]}],"formId":2650855,"metadata":{"languageCode":"en-US","layoutStyle":"standard","displayConfirmationMessage":true,"deactivationHtmlContent":"<img alt='' src='https://secure.ngpvan.com/v1/Track/v-zN9Zi4p0ObKnteXUhm0w2' style='display:none'/>","columns":1,"payPalClientId":"","payPalMerchantId":"","isUsOnly":"True","tenantUri":"ngpvan://van/NGP/NGP50/1/103205","activistCodes":["5515354"],"clientAmountFormatting":true,"options":{"table_countries":[{"value":"US","display":"United States"}]},"isStripeJsEnabled":false},"paidForByDisclaimerText":"Paid for by Ro for Congress","status":"Published","title":"Manage Your Data","name":"Manage Your Data","type":"SignupForm","updated":"2026-08-17 18:15:22Z","url":{"full":"https://secure.ngpvan.com/v1/Forms/v-zN9Zi4p0ObKnteXUhm0w2","base":"https://secure.ngpvan.com/","slug":""},"shortCode":"v-zN9Zi4p0ObKnteXUhm0w2"}