CA Privacy Policy Form

My Information

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I am making this request on behalf of another as their authorized agent

Data Subject Information (if acting as authorized agent)

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Rights Request (each, only to the extent legally applicable)

Rights Request (each, only to the extent legally applicable)

Description of Request

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I declare that the information given by me is correct to the best of my knowledge, and that I am entitled to make the request identified above under the laws applicable to me