California Privacy Rights Request Form

The California Consumer Privacy Act (CCPA) provides California residents with certain rights relating to their personal information. To make a request to exercise your rights under the CCPA, please complete and submit this form.

Please Note: It is possible that not all personal information Hercules collects from or about California residents is fully covered by the CCPA. The CCPA includes certain exemptions that may apply to our collection and processing of your personal information. These exemptions are more fully described in the California Notice at Collection and Privacy Notice or another privacy policy linked therein that may apply to your relationship with us. Therefore, the ability to exercise the rights set out herein may not apply to you or to all of your personal information. Please note that your request is subject to verification.

California Privacy Rights Request Form

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Name*
Relationship Type (check all that apply):*
Type of Request (check all that apply):*
This field is for validation purposes and should be left unchanged.