Tiff's Treats
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California Consumer Request ForM
Instructions
: California residents can use this form to submit requests under the California Consumer Privacy Act (CCPA) regarding personal information collected by Tiff’s Treats (“
Tiff’s
”). Tiff’s reserves the right to refuse requests, in part or in whole, to the extent permitted by law, if we are unable to verify your identity, or if we cannot verify your authority to act on behalf of another person.
For certain requests, we may ask additional information or documents to verify the identity of the consumer who is the subject of the request. The information provided through this form will be used to respond to your request, including verifying identity, identifying personal information
1. Requestor Information
Full Name:
Email Address:
State of Residence:
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Delaware
Florida
Georgia
Hawaii
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Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
2. Are you the consumer?
Yes, I am making the request related to personal information about me.
No, I am acting as an authorized agent for the consumer. I have sent a California Authorized Agent Designation form to ccpa@cookiedelivery.com completed and signed by the consumer.
3. Consumer information (if different from requestor)
Full Name:
Email Address:
State of Residence:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
4. Request for online activity information
If your request applies to online activity information that Tiff's may have collected through cookies or similar technologies, you must make your request from the browser or device that you have previously used to access Tiff's website or apps. This allows us to read any identifier that we have assigned to your browser or device.
5. Specify the request(s) – check all that apply
Request to know categories of personal information Tiff's Treats has collected, used disclosed, and/or sold about the consumer
Request to obtain specific pieces of personal information Tiff's Treats has collected about the consumer
Request to delete personal information Tiff's Treats has collected from the consumer
Captcha:
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DECLARATION
BY SUBMITTING THIS FORM, I HERE BY CERTIFY THAT THE INFORMATION ENTERED INTO THIS FORM IS COMPLETE, ACCURATE, AND UP-TO-DATE, AND THAT I AM THE CONSUMER WHO IS THE SUBJECT OF THE REQUEST OR HAVE BEEN AUTHORIZED BY THAT CONSUMER TO ACT ON HIS/HER BEHALF, AS INDICATED ABOVE. I UNDERSTAND THAT IT MAY BE NECESSARY FOR TIFF'S TO VERIFY THE IDENTITY OF THE CONSUMER AND/OR AUTHORIZED AGENT FOR THIS REQUEST, AND ADDITIONAL INFORMATION MAY BE REQUESTED FOR THIS PURPOSE.