CALIFORNIA CONSUMER PRIVACY ACT REQUEST FORM
California Consumer Privacy Act Request Form
Pursuant to the California Privacy Act (the "CCPA"), California residents have the right to request information regarding the personal information about them that we collect, sell and disclose for a business purpose (a "right to know request"), request deletion of their personal information (a "deletion request") and opt-out of the sale of their personal information (an "opt-out request"). To exercise the access, deletion or opt-out rights as described above, please either submit this form, email us at firstname.lastname@example.org or call 1-844-880-5355.
By clicking Submit Request, I authorize the controller of the website selected above to contact me to verify my request and to perform the Type of Data Request selected above. Your request will not be performed until we are able to verify your identity, and authority of anyone who may attempt to act on your behalf or another person, in accordance with applicable law. Any request may be denied if it cannot be verified.