Request regarding the processing of personal data

Please complete the form below if you have any questions or requests relating to the processing of your personal data by Groupe Mutuel.

Fields marked with an asterisk (*) are mandatory.

Title

Name *

First name *

Address

Telephone

Email address *

Are you insured with Groupe Mutuel?

Subject of the request

Request

Attachments (optional)

By submitting this form, I agree to the processing of my data for the purposes and under the conditions set out in the Privacy Policy of Groupe Mutuel. In this context, I am aware that Groupe Mutuel Services SA will process and transmit the data provided to other Groupe Mutuel companies for the purpose of processing my request.

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