California residents may request certain information related to personal information that CC Wellness collects from them. To process your request, we ask that you kindly provide all of the following information:
First Name:
Last Name:
Email:
Address:
City:
State:
Postal Code:
I am a (check the box(es) as applicable):
☐ Prospective Customer
☐ Current Customer
☐ Former Customer
☐ Other (please specify):_________________
☐ Former Employee
☐ Current Employee
☐ Vendor / subcontractor
Please note that all of this information is requested in order for us to confirm your identify and process your request.
Please identify your request(s) (check the box(es) as applicable):
☐ Disclosure of personal information collected / disclosed.
☐ Deletion of personal information.
☐ Opt-out of selling or sharing personal information.
☐ Limit use and disclosure of sensitive personal information.
☐ Correction of personal information.
What time period would you like your request to cover?
☐ The preceding twelve (12) months.
☐ Any personal information collected or processed after January 1, 2022.
We may ask for some additional verification to comply with this request in order to protect your privacy. We may also need to request additional information from you to verify your identity and determine the propriety of your request, before we provide a substantive response. We cannot respond to your request or provide you with personal information if we cannot verify your identity or authority to make the request and confirm the personal information relates to you.
We endeavor to respond to a verifiable consumer request for access, correction or deletion within forty-five (45) days of its receipt. If we require more time (up to 90 days), we will inform you of the reason and extension period in writing. The response we provide will also explain the reasons we cannot comply with a request, if applicable. We will respond to an appropriate request to opt-out or limit use and disclosure within fifteen (15) days of receipt.
Any disclosures we provide will only cover the time period requested above. For data portability requests, we will select a format to provide your personal information that is readily useable and should allow you to transmit the information from one entity to another entity without hindrance.
You may only make a verifiable consumer request for access or data portability twice within a 12-month period. These requests are free, though we reserve the right to implement a reasonable fee for excessive or complex requests you may submit.
Making a verifiable consumer request does not require you to create an account with us. We will only use personal information provided in this request form to verify your identity or authority to make the request.
