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Consumer Privacy Notice Form

Consumer Privacy Notice Form



(References to “you” or “your” mean Consumer, not the Consumer’s authorized agent.)

Yes No

If you marked “no” above, you do not have any rights under the CCPA and we will therefore not respond to this submission.

Yes No
Yes No

Primary Phone Number *

Home Address *

*You authorize us to contact the Consumer and/or the Consumer’s authorized agent (if applicable) for identity verification purposes in accordance with our legal obligations.

Please select only one request type from below:

The specific pieces of personal information we collected about you in a form that you can take with you, also called a “data portability request”. The categories of personal information we collected about you. The categories of sources for the personal information we collected about you. Our business or commercial purpose for collecting, sharing or selling that personal information. The categories of third parties to whom we disclosed, shared or sold your personal information.
Yes No
Yes No

Please submit any documents that you would like us to consider in support of your request for us to correct the contested personal information to Compliance@Wescom.org. We may require additional documentation from you regarding the contested personal information. We may deny your request if we determine that the contested personal information is more likely than not accurate based on the totality of circumstances.

Yes No

Note About Identity Verification:

We will need to verify your identity. Within 10 business days of your submission of this form, we will notify you of what we will need to verify your identity.

If you are an authorized agent for the above referenced consumer, we will request a copy of your government issued identification card, and written authorization from the consumer to submit the request. Additional details will be provided to you regarding what we need to verify you and your request within 10 business days of your submission of this form.

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