CCPA Request Verification Form – Bunzl North America

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Thank you for contacting us and for submitting a CCPA request regarding personal information that we may have collected. This form will be used to confirm your identity to process your request pursuant the California Consumer Privacy Act, Cal. Civ. Code § 1798.100 et seq.

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First Name *	Last Name *
Email *	Phone *
Address *	City *
State *	Zip Code *