CCPA Privacy Request Form

California residents can use this form to submit requests under the California Consumer Privacy Act (CCPA) regarding personal information collected by Auscan Alliance Corp (Disabled-World.com). Much of the personal information that Auscan Alliance Corp (Disabled-World.com) collects is exempt from the CCPA. Auscan Alliance Corp (Disabled-World.com) reserves the right to refuse requests, in part or in whole, to the extent permitted by law, if we are unable to verify your identity, or if we cannot verify your authority to act on behalf of another person.

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CCPA regulations require that before a business releases personal data to fulfill a right-to-know request, that business must verify a consumer’s identity to a "reasonable degree of certainty." If you call us, we will need information from you to confirm you are a California resident, to determine if we have personal information about you, and, for access and deletion requests, to verify your identity. We may also need to contact you about your request, and you can choose the contact method you would like us to use.

Please be aware there might be circumstances where we will not take the action you requested. For example, if we’re unable to verify your identity and confirm that you are a California resident, we may deny your access or deletion request, as permitted by the CCPA. In addition, we may fully or partially deny your deletion request if CCPA-recognized exceptions or exemptions apply. Please see our Privacy Policy for more information.

The information provided through this form will be used to respond to your request, including verifying identity, identifying personal information responsive to your request, and keeping records of your request. Please review our Privacy Policy, our Cookie Policy, and our Terms of Service for more information about our practices.

The completed and signed Request Form below should be submitted either:

1 - Via email:

a) - Print and fill the form

b) - Scan or take a clear picture, of the fully completed form

c) - Attach the scan or image in an email to: admin@disabled-world.com with the subject line "CCPA Request"

2 - By Postal Mail:

a) Print and fill the form

b) Mail by post the fully completed form to:

CCPA Auscan Alliance Corp/Disabled World
173 Boulevard D'Youville
Chateauguay
Quebec
Canada
J6J 5R1

IMPORTANT NOTES:

1 - CCPA regulations require that before a business (us) releases personal data to fulfill a right-to-know request, that business must verify a consumer’s identity to a "reasonable degree of certainty." One way to do that is to match two(2) pieces of information provided by the consumer (you) to the same two(2) pieces of information maintained by the business.

2 - If the consumer (you) requests specific categories of personal information, however, the business (us) must obtain and compare three(3) pieces of personal information provided by the consumer (you) with information already maintained.

3 - If a consumer (you) is filing a request to delete data, the consumer’s identity must be verified at the time of the request and again before any data or files are deleted. In these instances, it’s up to the business (us) to decide whether to use a two(2) or three(3) step verification process.

4 - If you are submitting a request on behalf of a consumer, you must attach written proof that you have been authorized by the consumer to operate on his/her behalf when you reply to the verification email.

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CCPA REQUEST FORM

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1. Requestor information

Print Your Name:

Print Your Email Address:

Print Your City and State of Residence:

2. Are You the Consumer?

[ ] Yes, I am making a request related to personal information about me.

[ ] No, I am acting as an authorized agent for the consumer. I have enclosed a California Authorized Agent Designation form completed and signed by the consumer.

3. Consumer Information (if different from requestor)

Print Name:

Print Email address:

Print City and state of residence:

4. Request for Online Activity Information

Specify the Request(s) - check all/any that apply

[ ] Request to know categories of personal information Auscan Alliance Corp/Disabled World has collected, used and/or disclosed about the consumer.

[ ] Request to obtain specific pieces of personal information Auscan Alliance Corp/Disabled World collected about the consumer.

[ ] Request to delete personal information Auscan Alliance Corp/Disabled World has collected from the consumer.

Provide Any Extra Information in The Space Below:




Declaration

BY SIGNING BELOW, I HEREBY ATTEST UNDER PENALTY OF PERJURY THAT I AM A CALIFORNIA RESIDENT OR I AM AN AUTHORIZED AGENT SUBMITTING THIS REQUEST ON BEHALF OF A CALIFORNIA RESIDENT. I CERTIFY THAT THE INFORMATION ENTERED INTO THIS FORM IS COMPLETE, ACCURATE AND UP-TO-DATE, AND THAT I AM THE CONSUMER WHO IS THE SUBJECT OF THE REQUEST OR HAVE BEEN AUTHORIZED BY THAT CONSUMER TO ACT ON HIS/HER BEHALF, AS INDICATED ABOVE. I UNDERSTAND THAT IT MAY BE NECESSARY FOR AUSCAN ALLIANCE CORP/DISABLED WORLD TO VERIFY THE IDENTITY OF THE CONSUMER AND/OR AUTHORIZED AGENT FOR THIS REQUEST, AND ADDITIONAL INFORMATION MAY BE REQUESTED FOR THIS PURPOSE.

Signature:

Name:

Date:

I understand that after submitting this request, I will receive a verification email to confirm my request and must respond to the email with "I approve" in order for my request to be processed. this information will be used to process your CCPA request and for no other purpose. We will maintain a record of your request pursuant to civil code section 1798.105(d).

NOTE: Proper authentication is critical to ensuring the protection of Personal Information. Depending on the response to your request, you may be required to provide proof of identity before it can be fulfilled. We will respond to your request consistent with applicable laws.

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