CCPA personal information request form
This form is intended for California residents to submit requests regarding personal information gathered from readers as detailed in the California Consumer Privacy Act. Only you, or a person registered with the California Secretary of State that you authorize to act on your behalf, may make a verifiable consumer request related to your personal information. You may also make a verifiable consumer request on behalf of your minor child. You may only make a verifiable consumer request for access or data portability twice within a 12-month period.



Sign in to Google to save your progress. Learn more
Email *
Name: *
Email: *
Phone:
Details of your request: *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Salt Lake Tribune. Report Abuse