Simplify CCPA Right to Know Requests for Your Store

Give California shoppers a simple way to request the personal data your online store holds, with identity and agent verification built in.

השתמשו בתבנית בחינם תצוגה מקדימה

Blanc ערכת עיצוב

formbuilder.ai/f/e-commerce-customer-ccpa-right-to-know-personal-information-access-request-form

E-Commerce Customer CCPA Right to Know & Personal Information Access Request Form

I am submitting this request as

Consumer's Full Name

· · ·

Consumer's Email Address on File

· · ·

שליחה

This E-Commerce CCPA Right to Know Request Form gives your online store a clear, structured way to receive consumer requests to access personal information under the California Consumer Privacy Act. Customers, or authorized agents acting on their behalf, can confirm California residency, specify what they are requesting and which types of personal information they want to know about, choose the time period covered, and select a preferred delivery method for your response.

Built for e-commerce brands, online retailers, and privacy teams, the template simplifies identity verification by asking for details a genuine customer is likely to know, such as the email address on file, a recent order number, and the total of their most recent purchase. Shoppers can also list other email or shipping addresses they have used, helping you locate every record. Agent-only fields capture the agent's name and email and allow a signed permission letter or power of attorney to be uploaded, while a declaration under penalty of perjury adds another layer of assurance before any data is disclosed.

Using a dedicated form instead of scattered emails helps you log every request in one place, track the 45-day response window, and keep an organized record of how each one was handled. Customize the wording, branding, and request options to match your privacy policy, embed it on your privacy page or account dashboard, and start handling Right to Know requests consistently and with confidence.

3 עמודים

19 שאלות

~6min זמן מילוי

חינם כלול בכל התוכניות

סוגי שדות בחירה יחידה ×4 שם מלא ×2 אימייל ×2 בחירה מרובה ×2 כתובת כן / לא טקסט קצר currency העלאת קובץ טקסט ארוך termsandconditions תאריך חתימה

השאלות בתבנית

תבנית חינמית

אלה השאלות שכלולות בתבנית — אפשר להתאים כל אחת מהן לצרכים שלכם.

עמוד 1 Requester & Consumer Information 5 שאלות

Requester & Consumer Information

1 I am submitting this request as * בחירה יחידה

2 Consumer's Full Name * שם מלא

3 Consumer's Email Address on File With Our Store * אימייל

4 Consumer's Residential Address * כתובת

5 Is the consumer a current California resident? * כן / לא

עמוד 2 Account Verification & Agent Authorization 6 שאלות

Account Verification & Agent Authorization

1 How has the consumer interacted with our store? * בחירה מרובה

2 Order Number From Any Recent Purchase טקסט קצר

3 Total Amount of the Most Recent Order currency

4 Authorized Agent's Full Name (agents only) שם מלא

5 Authorized Agent's Email Address (agents only) אימייל

6 Signed Permission Letter or Power of Attorney (agents only) העלאת קובץ

עמוד 3 Request Details & Declaration 8 שאלות

Request Details & Declaration

1 What are you requesting? * בחירה יחידה

2 Which types of personal information do you want to know about? * בחירה מרובה

3 Time Period Covered by This Request * בחירה יחידה

4 Preferred Delivery Method * בחירה יחידה

5 Additional Details or Other Email and Shipping Addresses Used With Our Store טקסט ארוך

6 I declare under penalty of perjury under the laws of the State of California that I am the consumer whose personal information is the subject of this request or an authorized agent acting on the consumer's behalf, and that the information provided in this form is true and correct. I understand this information will be used only to verify identity and process this request. * termsandconditions

7 Date Signed * תאריך

8 Signature of Consumer or Authorized Agent * חתימה

איך משתמשים בתבנית

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