DeltaTrak

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Privacy Notice

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Privacy Notice
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Privacy Notice

    California Consumer Privacy Act (CCPA)

    California Consumer Rights Act (CPRA)

    Identity Verification Declaration Form

    This form is provided by DeltaTrak Inc. to verify the identity of individuals submitting requests under the California Consumer Privacy Act (CCPA) and California Consumer Rights Act (CPRA). By completing and signing this declaration, you affirm that you are the consumer whose personal information is the subject of this request.

    Please complete all required fields. We will respond to your request within 45 days of receipt.

    1.Consumer Identification

    2.Request Type

    3.Verification of Identity

    To verify your identity, we may require and request additional information or documentation. Please be prepared to provide a government-issued ID or other identifying documents.

    4. Authorized Agent

    If you are submitting this request on behalf of another individual, please provide your details and proof of authorization

    5.Identity Verification Declaration

    To verify your identity, please read and sign the following declaration:

    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. I understand that DeltaTrak Inc. may require additional information to verify my identity and that my request may be denied if I cannot be verified

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    IFT - Institute of Food Technologists Logo Freshproduce CPMA - Canadian Produce Marketing Association Logo SAMPE - Society for the Advancement of Material and Process Engineering Logo PDA - Parenteral Drug Association Logo IAFP - International Association for Food Protection Logo NEHA - National Environmental Health Association Logo AABB - Association for the Advancement of Blood & Biotherapies Logo IAFP - International Association for Food Protection Logo
    IFT - Institute of Food Technologists Logo Freshproduce CPMA - Canadian Produce Marketing Association Logo SAMPE - Society for the Advancement of Material and Process Engineering Logo PDA - Parenteral Drug Association Logo IAFP - International Association for Food Protection Logo NEHA - National Environmental Health Association Logo AABB - Association for the Advancement of Blood & Biotherapies Logo IAFP - International Association for Food Protection Logo