CCPA Consumer Request Form
Please use this form to submit a request to exercise your rights under the CCPA.
I want to:
Know the categories of personal information collected and shared about me
Obtain a copy of personal information you have on me
Delete the personal information you have on me
Opt-out of the sale of personal information you have on me
I confirm that:
I am a resident of the state of California
Under penalty of perjury, I declare the above information is true, correct and that I am the person, the parent or guardian of the person, or the authorized agent of the person whose name appears above.
I understand that I may be required to validate my request by email and I may be contacted to complete this request.
I understand and agree that this request will be processed in accordance with applicable law(s), and therefore I may not receive a response.
Never submit passwords through Google Forms.
This form was created inside of Rakuten Ready.