CONSUMER RIGHTS REQUEST FORM
Under the California Consumer Privacy Act (“CCPA”), you may have the right to (1) know what Personal Information we have collected and how we have used and disclosed that Personal Information; (2) request deletion of your Personal Information; (3) opt out of the “sale” of your Personal Information; and (4) be free from discrimination for the exercise of your privacy rights.
To exercise your rights as a California consumer under the CCPA, please complete and submit the form below. You can also submit requests by calling [TOLL FREE NUMBER] or emailing firstname.lastname@example.org.
Important Note: The information provided in this form will ONLY be used for purposes of processing your consumer rights request and to communicate with you concerning your request.
To process your consumer rights request, we need to verify your identity: (*= required)