California Consumer Request

Name(Required)

First Last

Email(Required)

Phone(Required)

Your California resident status (please choose one):(Required)

I am a California resident and am submitting this request on my own behalf (the, “Consumer”).

I am a California resident and am submitting this request on behalf of my household, which is located in California (the “Consumer”).

I am authorized to submit this request on behalf of the individual listed below who is a California resident (the “Consumer”).

Consumer's Name(Required)

First Last

Consumer's Email(Required)

Consumer's Phone(Required)

Consumer’s State of Residence(Required)

How has the Consumer engaged with us? If you are submitting a request on behalf of an individual, please identify how that individual has engaged with our company.(Required)

Current or former employee, job applicant, or contractor

Current or former customer in personal capacity

Current or former customer on behalf of my employer/business

Vendor

Other

Please specify which of our brands with which you have interacted (check all that apply):(Required)

Request to know:(Required)

Categories of personal information that we collected about the Consumer in the last 12 months

Specific pieces of personal information that we collected about the Consumer in the last 12 months

Categories of sources from which we collected personal information about the Consumer in the last 12 months

Categories of personal information that we sold, shared, or disclosed for a business purpose, to a third party about the Consumer in the last 12 months

Categories of third parties to whom we sold, shared, or disclosed personal information about the Consumer in the last 12 months

Our business or commercial purpose(s) for collecting, selling, or sharing personal information about the Consumer in the last 12 months

If we retain your personal information for a period of greater than 12 months and your request to know should encompass personal information we have collected prior to the last 12 months, please indicate the date range of your request:

Select the type of request that you are submitting as, or on behalf of, the California Consumer or household (check all that apply):

Date Range(Required)

If submitting a request to know, select your preferred method of delivery:(Required)

Online/Email

Postal Mail

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Data Requests (check all that apply)

Request to correct personal information

Request to delete personal information

Opt-out of the sale of all personal information we have collected

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California Consumer Request Webform

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