CCPA Consumer Rights Request Form

CCPA Consumer
Rights Request Form

Request Type

Access my personal information (“Right to Know”) Delete my personal information (“Right to Delete”) Correct inaccurate personal information (“Right to Correct”) Opt out of sale or sharing of my personal information Limit use of my sensitive personal information Other

Other Request

First Name

Last Name

Relationship to NestDonorBank

Other Relationship

Please provide any additional details to help us process your request.

Verification Statement

I declare under penalty of perjury that I am the individual whose information is the subject of this request, or I am authorized to act on their behalf.

Are you submitting this request as an authorized agent?

Please email your signed authorization or power of attorney to privacy@nestcryobank.com

CCPA ConsumerRights Request Form

CCPA Consumer
Rights Request Form