Pelican Parts - CCPA Consumer Rights Request Webform

The California Consumer Privacy Act or CCPA (California Civil Code Section 1798.100 et seq) provides California consumers with certain rights regarding their personal information. If you are a California resident and would like to submit a CCPA consumer rights request to Pelican Parts LLC. (collectively, “Company” or “we”), please complete the form below. For more information about your privacy, please see the Company Privacy Policy or call (888) 280-7799..

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* 1. Date:

Date / Time

Date

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* 2. Name: Type Requester’s Full Legal Name Here (First, Middle, Last, Suffix if any)

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* 3. Are you a California resident?

Yes

Don't Know

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* 4. Are you a Current or former customer of Company?

Yes

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* 5. Are you an Authorized agent for a current or former customer of Company?

Yes: Please provide Customer Name: Type Customer’s/Guest’s Full Legal Name Here (First, Middle, Last, Suffix if any)

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* 6. If you have a different relationship with the Company, please enter it here:

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* 7. If you are a current or former customer of Company, do you have an online Company account?

Yes

Don't Know

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* 8. Select the right(s) you would like to exercise (check applicable box(es)):

Right to request information about the collection and disclosure of my personal information*

You can request the following information about the personal information we have collected and shared about you in the 12-month period preceding our receipt of your verifiable request: (1) categories or specific pieces of personal information we collected about you; (2) categories of sources from which your personal information was collected; (3) the business or commercial purposes of collection; (4) categories of third parties with whom we shared your personal information; and (5) categories of personal information we disclosed about you for a business purpose.

Right to request access to specific pieces of my personal information*

You can request access to the specific pieces of personal information we collected about you in the 12-month period preceding our receipt of your verifiable request.

Right to request deletion

You can request the deletion of the personal information we collected about you.

*The requested information may not be provided if you have already made this request twice in the preceding 12 months.

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* 9. Contact Information

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address *

Phone Number *