California Consumer Privacy Rights Request Form SECTION A: California Resident Information Name * First Name Last Name Date of Birth (mm/dd/yyyy) MM DD YYYY Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Email * SECTION B Please select a request form option Request to opt-out of the sale of my personal information. Request a deletion of my personal information. Request Monday Morning to disclose what personal information is collected. Request Monday Morning to disclose what personal information was collected/shared. SECTION C As Requestor or Personal Representative(s) *: I have read and understand the information on this request. (type your name in the box below to sign) * 1. California Consumer Privacy Act requests will be complete within 45 days of receiving a verifiable consumer request (Civ. Code § 1798.130). 2. Monday Morning is not required to provide personal information to a consumer more than twice in a 12-month period (Civ. Code § 1798.100(d).). 3. The deletion of personal information required for the application of business programs is exempt from California Consumer Privacy Act compliance (Civ. Code § 1798.105(d)(1).). 4. Personal information in connection with protected health information collected or used in the course of its business is exempt from California Consumer Privacy Act compliance (Civ. Code § 1798.145(c)(1)(a).). 5. If your form is incomplete, you will be notified by mail and your request will not be considered until a completed form is received. 6. Verifiable requests apply only to the records maintained by Monday Morning. 7. Documentation of authorized representative is required to determine the appropriate parties who are entitled to access or manage the individual’s personal information. If you are a parent or guardian requesting personal information of a minor child, legal documentation showing parental rights is required. I DECLARE UNDER PENALTY OF PERJURY THE INFORMATION ON THIS FORM OR ATTACHED IS TRUE AND CORRECT. ANY ATTEMPT TO FALSELY GAIN ACCESS TO PERSONAL INFORMATION IS SUBJECT TO LEGAL PENALTIES. Date MM DD YYYY Name(s)/Relationship to the Requestor *If this request is by a personal representative on behalf of the beneficiary, check the box that describes the relationship to the beneficiary and attach documentation of the representative’s authority. Parent of Minor Child Legal Guardian Power of Attorney Executor Other** **If other was selected, please explain. Thank you. We'll be in touch as needed.
