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CCPA Consumer Request Online Form
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Please note you must be a California resident to request information based on the California Consumer Privacy Act.
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Request to Know
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Request for Deletion
Request to Opt-Out of Sale/Sharing of Personal Information
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Request to Know
Categories of personal information collected from or about me since 1/1/2022.
Categories of sources from which the personal information was collected.
Business purpose for which the personal information was used.
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Access Request
Please provide me with the specific pieces of personal information collected from or about me since 1/1/2022.
Request to Correct
Please correct personal information you have collected from me.
Please enter a short description of the personal information you believe is incorrect, using the box below.
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Are you sure you want us to correct the personal information that you have identified?
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Request to Limit Use and Disclosure of Sensitive Personal Information
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Please limit your use and/or disclosure of my sensitive personal information to only those purposes expressly prescribed by the California Privacy Rights Act.
Request for Deletion
Please delete all personal information that you have collected from me.
Are you sure you want us to permanently delete all your personal information that we have collected from you?
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Request to Opt-Out of Sale/Sharing of Personal Information
I do not want my personal information to be sold. Please cease and refrain from selling my personal information.
I do not want my personal information to be shared with a third party for cross-context behavioral advertising purposes. Please cease and refrain from sharing my personal information for such purposes.
Request to Withdraw From Financial Incentive Program
I wish to withdraw from the Company’s financial incentive or loyalty rewards program. Please delete my account. I understand that by withdrawing from the program and having my account deleted, I will not be receiving any of the financial incentives, rewards, benefits or discounts that I may have previously earned or accrued as a member of this program.
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