Bayer Consumer Health

Privacy Request Appeal Form


Complete this form to exercise your right to appeal our refusal to take action on your request. Please note that not every state offers the right to appeal. Please read the Bayer Privacy Policy for details about your privacy rights.


Please do not use this form to report side effects, adverse events or product quality complaints. If you wish to report a concern about a product, please go to the Bayer Contact Us page and we will quickly address your issue.


This is intended ONLY for residents of the United States.

Enter the first name of the data subject
Enter the last name of the data subject
Enter email for correspondence with the data request.

After you submit this form, we will send a confirmation message to the email address you provided above. Please ensure that you have access to this email address before clicking Submit. This email message will ask you to confirm your identify before we can process this request.