CA Privacy Rights Form

Details of the Data Subject

Please select the data subject's relationship to Hausfeld:

Current client (including a contact of a current business client) of Hausfeld
Former client (including a contact of a former business client) of Hausfeld
Worked for, or applied for employment with, Hausfeld
Never had a relationship with Hausfeld

If the data subject does not have a prior or current relationship with Hausfeld, please provide us with any additional details that may be helpful in locating personal information:

First Name *

Last Name *

Email Address *

Telephone Number *

Name of Business

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.

Full Name *

Email Address

Please describe your relationship with the data subject.

Nature of the Request(s)

Check all that apply.

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.

Declaration

Details of the Data Subject

Details of the Person Requesting the Information

Nature of the Request(s)

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