<p><strong>PRAGMATIC THINKING.</strong><br /><strong>RESULTS FOCUSED.</strong></p>

CALIFORNIA PRIVACY RIGHTS FORM

PRAGMATIC THINKING.
RESULTS FOCUSED.

Request Form to Access, Delete, or Correct Personal Information of a California Resident

Instructions: California Residents can use this form to submit requests to Hausfeld LLP ("Hausfeld") to delete, provide access to, or correct personal information that we have collected, under the California Consumer Privacy Act ("CCPA"). In each case, we will respond to such request to the extend required by law. 

We may ask for additional information or documents to verify the identity of the individual who is subject of the request and to verify that an agent submitting a request on behalf of the individual is authorized to do so. The information provided through this form will be used only to respond to your request, such as for verifying your identity, identifying personal information responsive to your request, and keeping records of your request. 

For more information about our data collection, use, and sharing practices, please review our Privacy Policy. 

Details of the Data Subject

Rights under the CCPA are available only to California residents.

Details of the Person Requesting the Information

Only complete this section if you are making this request on behalf of the data subject referenced above.

Only complete this section if you are making this request on behalf of the data subject referenced above.

Nature of the Request(s)

I would like to know categories of personal information Hausfeld has collected, used, and disclosed about the data subject; the categories of sources from which Hausfeld collected personal information about the data subject, Hausfeld’s purposes for collecting personal information; the categories of personal information that Hausfeld disclosed for a business purpose; and the categories of third parties with whom Hausfeld has shared personal information.
I would like to delete personal information Hausfeld has collected about the data subject.
I would like to obtain specific pieces of information Hausfeld has collected about the data subject.
I would like to correct personal information Hausfeld maintains about the data subject.
I certify that the information given on this application form to Hausfeld is true and complete, and that I am the individual who is the subject of the request or have been authorized by the individual to act on his/her behalf, as indicated above. I understand that it is necessary for Hausfeld to verify my/the individual’s identity and/or to verify that I am the authorized agent for this request, and it may be necessary for Hausfeld to obtain more detailed information in order to complete the verification, locate the information, or correct the information.
For requests submitted by an authorized agent, you must email a written, signed permission from the data subject to dataprivacy@hausfeld.com showing that the individual has authorized the agent to make the request.