CCPA Data Subject Request Form
v1.0 Last edited on October 28, 2025
CCPA Data Subject Request Form
This form has been prepared for you to exercise your rights in accordance with article 4 of California Consumer Privacy Act of 2018 ("CCPA").
Hardal is committed to respecting the privacy rights of its customers and takes the protection of your personal data seriously. In accordance with applicable laws, including the CCPA, California residents have the right to submit the following requests concerning Hardal's collection and processing of their personal information.
Your Rights Under CCPA
If you are a California resident, CCPA grants you certain rights, namely you may:
- Opt out of the sale of your personal information;
- Request that we disclose certain information to you about our collection and use of your personal information over the last 12 months; and/or
- Request that we delete any of your personal information that we collected from you and retained, subject to certain exceptions.
How to Submit Your Request
In order to submit a request to exercise individual rights, please complete this form and send to [●]. The information we request from you below is strictly for the purpose of enabling Hardal to verify your request and will be processed in compliance with CCPA.
Once we receive your completed form, we will review and respond to your request within 45 days, in accordance with the CCPA.
If additional information is required, we will contact you using the contact details you provided in this form.
Under the details of request section, Hardal may request certain information from you in order to verify your identity. Once your identity has been verified, Hardal will respond to your request in accordance with the CCPA. Hardal cannot respond to your request or provide you with personal information if Hardal cannot verify your identity and confirm the personal information relates to you. If Hardal deny your request, the reason will be notified to your side.
For more information, please review Privacy Policy of Hardal at [●]
Request Form
| Field | Information |
|---|---|
| Name | |
| E-mail Address |
Details of Request
- Request to access categories of personal information
- Request to access specific personal information
- Request deletion of personal information subject to exceptions under Cal. Civ. Code § 1798.105(d)
- Opt-out of the sale of personal information
- Request disclosure of: categories collected, sources, business/commercial purposes, categories of third parties shared with, and specific pieces collected
Verification Questions
Is the Data Subject a California resident?
☐ Yes ☐ No
Is the individual completing this form the Data Subject who is exercising his or her rights under the CCPA?
☐ Yes ☐ No
If not, please explain: