CALIFORNIA RESIDENT RIGHTS REQUEST FORM

Please complete this form to submit a California Consumer Rights Request. In certain circumstances, we may require additional information if we are unable to verify your request based on the information you have provided. We collect this information to verify your identity and locate your personal information in our systems. We use this information only to fulfill and respond to your request.

Please identify your relationship with Clutter: *

Customer

Website Visitor

Job Applicant

Employee

Other

Are you submitting this request on behalf of someone else or an incapacitated individual? *

If yes, we may require additional information as necessary to verify your request.

Yes

Select the California Consumer Right you would like to exercise: *

Right to Knowledge: The right to know the categories and specific pieces of personal information we have collected about you, as well as additional information about the sources of information, purposes for which this information was collected, and the categories of third parties to whom we have disclosed this information for business or commercial purposes during the last 12 months.

Right to Know the Specific Pieces of Personal Information: The right to obtain a copy of the specific pieces of personal information collected about you during the last 12 months.

Right to Request Deletion: The right to request deletion of personal information we have collected from you, subject to certain exceptions.

Required

* Fields marked with an asterisk (*) must be completed in order to submit this form.

First Name *

Last Name *

Title

Email Address *

Phone Number

Address

City *

State *

Zip Code *

For more information regarding this right and additional rights you may have under the CCPA, please see our California Privacy Notice: (https://www.clutter.com/legal/california_privacy_rights).

FOR INTERNAL USE ONLY

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