Individual Payment Data Request
Please use this form to request access to an individual’s Sunshine Payment Data collected by Siemens.
I am requesting access to my potentially reportable data. I certify that: (a) all of the information I am entering on this Request Form is accurate, and (b) the data requested pertains to me, or else the person to whom the data pertains has authorized me to request such access and see the data on his or her behalf. I understand that Siemens is expressly relying on my certification.
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