Submit a CCPA request
As a member of the Purple Carrot community, your privacy is of utmost importance to us. In order to process your data request, we need some basic information from you. The information requested in this form will be used to verify that you are who you claim to be, to locate your data within our systems, and to determine whether we may have a lawful reason to deny your request.

Please note: If you choose not to provide the information requested in this form, we will be unable to process your request.
First name *
Your answer
Last name *
Your answer
Email address *
Note: If you may have used more than one email address with Purple Carrot, please submit a separate request for each additional email address. If you have logged-in to your account prior to submitting this form request, you will be required to confirm your request via the email address associated with your account.
Your answer
Mobile number
Your answer
In which state do you reside?
Your answer
What type of request are you making?
Please provide any information that might be helpful in fulfilling your request in regards to how you have engaged with Purple Carrot. For example, “I received a gift box from Purple Carrot” or “I’ve purchased something online from Purple Carrot"
Your answer
At Purple Carrot, we take your right to privacy seriously. We strive to protect the rights, freedoms and dignity of all those who entrust us with their personal information.

In order to fulfill this request, Purple Carrot will need to reasonably validate that you are the owner of the account for which this request is being submitted. This may require additional follow-up to ensure confidence that this request can be fulfilled. We will work to fulfill this request in a timely manner that complies with the legal requirements in the CCPA.
Please read and select the applicable option below:
I acknowledge that transmitting personal information over the internet or via mail comes with inherent risks including the risk that the information will be exposed to unauthorized individuals. I understand the risks associated with my chosen method for receiving information pertaining to my request and accept responsibility for any unauthorized access occuring after Purple Carrot sends my information in the chosen method.
Submit
Never submit passwords through Google Forms.
This form was created inside of Purple Carrot. Report Abuse