California Consumer Privacy Act Request Form
If you are a California resident, under the California Consumer Privacy Act (“CCPA”), you have the right to opt-out of the sale of your personal information. To submit a request to opt-out of the sale of your personal information, you may complete the information requested in the webform below and click on the “Submit” button, or email us at email@example.com. To process your request, we may require that you submit the following information in conjunction with your request: your first name, last name, California address, email address, and phone number.
You may exercise your right to opt-out through an authorized agent. If you elect to use an authorized agent to exercise your right to opt-out of the sale of your personal information, we may require the following before processing the request: 1) provide proof of your written and signed permission with the authorized agent to act on your behalf; 2) directly verify your own identity with us; and 3) directly confirm with us that you provided the authorized agent permission to submit the request on your behalf. We will only use the information which you submit to us for the express purposes of verification and complying with your opt-out request.
Please provide the following fields. The information which you provide will be used to verify your request and to attempt to identify you within our data records.
FOR CALIFORNIA RESIDENTS ONLY