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Consumer Access Request Form
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Under the California Privacy Rights Act (CPRA), you have the consumer privacy rights set forth in Section 1 below regarding the personal information collected and processed about you by The Shyft Group, Inc. To make a consumer access request to exercise these rights, please complete this form.
Section 1: Type(s) of Consumer Privacy Rights
You have the consumer privacy rights listed below. Please check the type(s) of consumer privacy rights you would like to exercise through a consumer access request and complete the information requested so we can process your request:
Right to Know
Right to Know:
Categories of Personal Information
the categories of personal information the Company has collected about me, the categories of sources from which my personal information was collected, the business or commercial purpose for collecting my personal information, and the categories of third parties with whom the Company shares my personal information
Specific Pieces of Personal Info
the following specific pieces of personal information the Company has collected about me:
Personal Information
Disclosed for a Business Purpose
the categories of personal information about me that the Company sold or disclosed for a business purpose
the categories of third parties to whom my personal information was sold or disclosed for a business purpose
Right to Delete
Right to delete the personal information that the Company has collected about me.
Specifically, I request that the following personal information be deleted:
Right to Correct
Right to correct inaccurate personal information about me.
Specifically, I request that the following inaccurate personal information be corrected:
Section 2: Requester Information
Name of Consumer:
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Date of request:
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MM slash DD slash YYYY
If you are an authorized agent making a request on behalf of a consumer, please provide the following information:
Name of authorized agent:
Name of consumer(s) for whom the request is made:
For each consumer, please upload or provide:
The consumer’s written authorization permitting the authorized agent to make the request, OR The consumer’s power of attorney authorizing the authorized agent to act on behalf of the consumer.
File
Drop files here or
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Accepted file types: jpg, gif, png, pdf, Max. file size: 300 MB, Max. files: 2.
Section 3: Identity Verification Process for Request to Know, Request to Delete and/or Request to Correct
The law requires us to verify your identity before we respond to your request to know, delete, and/or correct your personal information. The identity verification process differs depending on the type of consumer access request you are making. To verify your identity, please follow the directions below for the type of request you are making and provide verifying information for the data points listed in Section 4 below for your request so we can match them with the information that you have previously given to us.
If you are requesting to know specific pieces of personal information the Company has collected about you, please provide your identifying information for at least 3 of the data points listed in Section 4below and sign the following declaration:
I hereby declare under penalty of perjury that I am the person for whom the specific pieces of personal information is requested.
Signed:
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(You may sign your name by typing your name. By typing your name, you intend that your typed name will serve as your electronic signature)
If you are requesting the right to know the categories of personal information, the right to delete or correct personal information, please provide your identifying information for at least 2 of the data points listed in Section 4 below. However, if your request involves personal information that is sensitive or poses a high-risk of harm if an unauthorized person accesses the information, please provide your identifying information for at least 3 of the data points listed in Section 4 below.
Section 4: List of Data Points for Identity Verification
Please provide your verifying information for the following data points as instructed in Section 3 above:
Your telephone number:
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Your email address:
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Your address:
Last product or service you purchased:
Employee ID:
Section 5: Timing of Our Response to Your Request
Please allow 45 days for our response. In certain circumstances, we may need to extend the response period to 90 days. We will let you know if we need to extend the response period.
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