California Data Request Form
Welcome to Pumpkin’s California Individual Rights Request form. Please provide the information requested below to the best of your ability. We will respond to your request as required by applicable state law. Depending on the nature of your request, we may need to contact you for additional information for verification purposes. Personal Information provided on this form will only be used to process your request.
 
By submitting this form, you confirm that the information you have provided is correct.
Sign in to Google to save your progress. Learn more
I am making this request for myself or on behalf of someone else. *
I am a(n) *
Request Type *
First Name *
Last Name *
Email *
Confirm Email *
Alternate Email
Country *
State *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pumpkin. Report Abuse