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Data Privacy Request

Form Instructions

At this time, certain actions are available only to residents of specific jurisdictions. If you are a resident of a U.S. state where QuikTrip operates with an applicable comprehensive consumer data privacy law, you may have the following rights: (i) right to a copy of your personal information, (ii) right to delete your personal information subject to certain business and legal exceptions, (iii) right to correct your personal information, (iv) right to opt out of the sale or sharing of your personal information and the sharing of your personal information for the purposes of cross-context behavioral advertising, and (v) right to limit use and disclosure of your sensitive personal information. We will evaluate your request and respond if appropriate under applicable law.

* Please note that you must submit a separate request if you have multiple requests AND/OR; more than one name or email address with QuikTrip.


Tell us who you are lable container.

Tell us who you are:

Tell us who you are input section.


Tell us who you are

What are you requesting:

Who is this request for section.

Who is this request for:

Identification Label Container.

Identification:


* I enclose a copy of my ID and address proof documents including a government issued ID document. This must be in .jpeg, .png or .gif format.

"Personal Details Section.

Personal Details:

Personal Details Section.
Birth Month and Day input section.
Request details and autherized documents upload section.

Request Details:

AUTHORIZED AGENTS ONLY: We require that you provide evidence that you have been authorized to submit this request on the behalf of this individual. If a response is required, it will be sent to the customer's email on file, unless there is a legal instrument that instructs us otherwise.

Files must be in .jpeg, .png or .gif format. Files larger than 4 MB are not supported.


* Acknowledgement * By Submitting this form, you confirm that all of the information you have provided is accurate. For security purposes, if we are unable to verify your identity, your request may not be processed.

Submit form section.

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Copyright © 2025 QTR Corporation, a subsidiary of QuikTrip Corporation. All rights reserved.QuikTrip, QT, QT Kitchens, Fleetmaster, Freezoni, Guaranteed Gasoline, Hole Bunches, Hotzi, PumpStart,QTea, QT Twister, Quik'n Tasty, QuikShake, and QT Select Blend are registered trademarks of QTRCorporation, a subsidiary of QuikTrip Corporation. Privacy Policy, Terms & Conditions and SitemapOther brands and product names are trademarks or registered trademarks of their respective companies.This site is protected by reCAPTCHA and the GooglePrivacy Policy andTerms of Service apply.