Do Not Sell My Information
State of Matter
California Consumer Request Form
Each California resident (“Resident”) has the right to access, delete, correct, opt-out of the sale or sharing and limit the use and disclosure of the personal information held by State of Matter about that Resident.
In order for us to respond to your request, we ask that you submit the following information as a request via email to email@example.com. We will confirm our receipt of your request within 10 days of its receipt by State of Matter, and we expect to respond to your request within 45 days of State of Matter’s receipt of a fully completed form and proof of identity. You do not have to use this form but using this form should make it easier for you to make sure you have provided us with all relevant information and for us to process your request.
1. California Resident’s Name and Contact Information
Please provide the Resident's information below. If you are making this request on the Resident's behalf, you should provide your name and contact information in Section 3.
We will only use the information you provide on this form to (i) identify you and the personal information you are requesting access to, (ii) respond to your request, and (iii) keep a record of your request and our response.
Date of birth:
2. Proof of Resident’s Identity
We must verify your identity before we can respond to your request. We will use the information provided above to verify your identity, but we may request additional information from you to help confirm your identity and to exercise your rights under the California Consumer Privacy Act. We reserve the right to refuse to act on your request if we are unable to identify you, and will notify you in the event that we cannot identify you.
3. Requests Made by an Authorized Agent on a Resident’s Behalf
Please complete this section of the form with your name and contact details if you are acting as an authorized agent on the Resident's behalf.
Authorized Agent first and last name:
Authorized Agent last name:
Date of birth:
What is your relationship to the Resident (for example, solicitor, other adviser, parent, or caregiver)?
Do you have legal authority to request the Resident's personal information? (choose one) Yes / No
We may request additional information from you to help confirm the Resident's identity. We reserve the right to refuse to act on your request if we are unable to identify the Resident or verify your legal authority to act on the Resident's behalf, and will notify you in the event that we cannot identify the Resident or verify your ability to act on the Resident’s behalf.
4. Resident Request
Please select from the following request categories (check all that apply). I would like to exercise my right to (check all that apply):
☐ Access and receive my personal information
☐ Delete my personal information
☐ Opt out of the sale and sharing of my personal information
☐ Correct my personal information
☐ Limit the use and disclosure of my sensitive personal information
We will contact you for additional information if the scope of your request is unclear or does not provide sufficient information for us to conduct a search. We will begin processing your request as soon as we have verified your identity and have all of the information we need to locate your personal information. The personal information you request will be mailed to the home or email address you provided above. If you have question, please contact us at firstname.lastname@example.org. If we cannot fulfill your request, we will inform you of the reasons why, subject to any legal or regulatory restrictions.
Our Privacy Statement is available at: https://stateofmatterapparel.com/pages/privacy-policy-state-of-matter
By selecting “Confirm” below, I confirm that the information provided on this form is correct, and that I am the person whose name appears on this form, either as the Resident or the Resident’s Authorized Agent. If I am the Resident’s Authorized Agent I confirm that I am authorized to act on behalf of the Resident. I understand that State of Matter must verify my identity and, in the case of Authorized Agents, my legal authority to act on the Resident's behalf, and may need to request additional verifying information. My request will not be valid until State of Matter receives all the required information to process the request.
Confirm: (choose one) Yes / No