California Consumer Privacy Act of 2018

This form has been created to comply with The California Consumer Privacy Act of 2018 (“CCPA”). Customers with requests from other states may contact [company_name] at [compliance_email].

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If you are making a request under the CCPA, please fill out this form in its entirety.

Thank you.

[0][first]" required>
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[1]" spellcheck="false" required>
  • [3][]" value="This is a request to <strong>access</strong> my personal data" >
  • [3][]" value="This is a request to <strong>delete</strong> my personal data" >
  • [3][]" value="This is a request to <strong>opt out</strong> of the sale of my personal data" >

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