Perfetti Van Melle CALIFORNIA CONSUMER RIGHTS REQUEST FORM

CALIFORNIA CONSUMER RIGHTS REQUEST FORM

If you are a California resident, California law may provide you with additional rights regarding our use of your personal information. As a California resident, or a person authorized to act on behalf of a California resident, you can use this form to submit a request.

In order to make a request from Perfetti Van Melle USA with respect to your personal information, please complete and submit the form below and return it to: pvmdpo@perfettivanmelle.com.

I. California Consumer and Contact Information
Please provide the consumer’s information in the space provided below. If you are making this request on the consumer's behalf, you should also provide your name and contact information in Section II below.
We will only use the information you provide on this form to respond to your request.

II. Requests Made on a California Consumer’s Behalf
Please complete this section of the form with your name and contact details if you are acting on the California consumer's behalf.

III. Information Requested
Please describe the circumstances under which you believe we have collected personal information about you or the person you are making the request for (for example, to enter a contest or promotion or to submit a complaint about a product).
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 (for example, if you request "all information about me").

Method you would like to receive information that you requested:
EmailMail

IV. Type of Request –Choose all that apply

Abbrievated access request		If you are eligible and we verify your identity we will provide you with: Categories of personal information (PI) collected about you Specific pieces of PI the business has collected about you Covering the 12-month period preceding your request
Detailed access request		If you are eligible and we verify your identity we will provide you with: Categories of personal information (PI) collected about you Categories of sources from which PI was collected Business or Commercial purpose for collecting or selling PI Categories of third parties with whom the business shares PI Specific pieces of PI the business has collected about Covering the 12-month period preceding your request
Information about our disclosures of personal information		If you are eligible and we verify your identity, we will identify the categories of personal information (PI) that we disclosed for a business purpose in the preceding 12 months and categories of third parties to who the PI was disclosed for a business purpose. Covering the 12-month period preceding your request
Deletion of personal information		If you are eligible and we verify your identity, we delete your personal information (PI) from our business records. Covering the 12-month period preceding your request
Copy of my personal information		If you are eligible and we verify your identity we will provide you with: Categories of personal information (PI) collected about you Covering the 12-month period preceding your request

V. Next Steps Once We Receive Your Request
We may need to obtain additional information from you to (1) verify your identity or verify you are authorized to make the request (in the event you are requesting information about someone other than yourself); (2) verify your eligibility to make a request; or (3) locate the information we have about you. If we need such information, we will follow up with you.

We endeavor to respond to a verifiable consumer request within forty-five (45) days of its receipt. If we require more time, we will inform you of the reason and extension period in writing within forty-five (45) days of receiving your verifiable consumer request. If we deny your request, we will provide you with an explanation of the reasons we cannot comply with your request. Any disclosures we provide will only cover the 12-month period preceding receipt of your request.

Acknowledgment:
I am the California consumer named in Part I of this form, and hereby request that Perfetti Van Melle USA fulfill my request as set forth in this form.I am the authorized agent of the California consumer named in Part I of this form and I am authorized to make this request on his or her behalf, and hereby request that Perfetti Van Melle USA fulfill the request as set forth in this form.