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Read the Notice at Collection and Privacy Policy for HR Individuals Who Reside In California “CPRA Privacy Policy” by visiting here.

California Privacy Rights Act (CPRA) Request Form

This form provides a submission process for California residents or their authorized agents to submit requests pursuant to the California Privacy Rights Act (CPRA).

Please complete this form and answer all questions accurately so that we may verify your identity and respond to your request as soon as possible. Thank you.

California Residency I am a California resident submitting this request for myselfI am submitting this request on behalf of a California resident (as a legally authorized agent).

Select the Right You Want To Exercise Right to Access/KnowRight to DeleteRight to Correct Inaccurate Personal Information

Requester's Communication Information

Please provide us with your full name and valid email address.

For those submitting this request on behalf of a California resident, please provide your full name and email address in the first section below.

All communication regarding your request will take place in our secured portal. Reports in response to requests may be provided electronically via email or may be mailed to you.

First Name

Last Name

Verification Information

Please fill out your contact information, or the contact information of the individual you are submitting this request for (if submitting on behalf of another). All contact information should be consistent with information previously provided to HMSHost.

Street Address

City

State/Province

ZIP/Postal Code

Country

Date of Birth

Phone Number

Request Details

Please provide additional details about the data you wish to access/know/delete or correct

Certification

Signature

Typing your name serves as a valid signature.

Date

HMSHost knows you care about your privacy, and so do we. We have developed a CPRA Notice at Collection and Privacy Policy for California Job Applicants and a Notice at Collection and Privacy Policy for HR Individuals Who Reside in California. You may read the CPRA Notice at Collection and Privacy Policy for California Job Applicants at careers.hmshost.com. You may read the Notice at Collection and Privacy Policy for HR Individuals Who Reside in California by visiting Privacy Policy.

We have developed this CPRA Privacy Policy that describes the types of Personal Information we may collect, how we may use and share that information, our lawful basis for processing it, and what rights you have in relation to your Personal Information.

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