FleishmanHillard · CCPA Consumer Rights Request Form

CCPA Consumer Rights Request Form

If you are a California resident, you may have the right to (1) request access to certain personal information we have collected about you, (2) request that we delete certain personal information we have collected from you, and (3) opt out of the sale of your personal information. To exercise any of these rights, please complete the relevant portion of the form below. For more information about our privacy practices, please visit our privacy policy.

Please use the form below if you would like to make a request on your own behalf. If you would like to submit a request as an authorized agent on behalf of another individual, please email yourprivacy@fleishman.com.

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I am a resident of:

Select state of residence.

Please provide your contact information

First name

First name is required.

Middle name (Optional)

Last name

Last name is required.

Home Address

Please enter your home address.

Home Address 2 (Optional)

City

Please select a city.

State

Please select a state.

Zip

Zip code is required.

Phone Number

Phone number is required.

Email Address

Email address is required.

Phone Number

Phone number is required.

Email Address

Email address is required.

Please identify which privacy right(s) you would like to exercise

Right to Know

You have the right to request that FleishmanHillard (“we” or “us”) disclose to you certain information about our collection, use and disclosure of your personal information within the preceding 12 months. Please check the box(es) below relating to the information you would like FleishmanHillard to disclose to you:

The categories of personal information we have collected about you.

The categories of sources from which your personal information was collected.

The business or commercial purposes for collecting your personal information.

The categories of third parties with whom we have shared your personal information.

The specific pieces of personal information we have collected about you.

Right to Delete

You have the right to request that we delete the personal information that we have collected from you, subject to certain exceptions as permitted by law.

None of the personal information we have collected from you.

All of the personal information we have collected from you (subject to permitted exceptions).

Certain (but not all) the personal information we have collected from you.

Select what information you would like deleted.

Right to Opt-Out of Sale

You have the right to direct us not to sell your personal information to third parties.

Opt-out of the sale of your personal information.

Verifying Requests

To help protect your privacy and maintain security, we will take steps to verify your identity before granting you access to your personal information or complying with your request. If you request access to or deletion of your personal information, we may require you to provide us with information about you to verify your identity. The type of information that we ask for may vary depending on the type and sensitivity of the personal information we hold about you or that you request. If additional information is required to verify your request, we may contact you to provide us with that information before responding to your request for access or deletion. If you designate an authorized agent to make an access, deletion or opt-out of sale request on your behalf (1) we may require you to provide the authorized agent written permission to do so, and (2) for access and deletion requests, we may require you to verify your own identity directly with us (as described above).

Please select how you would like to receive our response

Postal Mail

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