AYR California Form - Privacy4Cars

AYR California

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Assert your Data Rights (California)

Privacy4Cars can help you Drive Privacy by making it simple to assert your rights under California Consumer Privacy Act ("CCPA") and its amendments. Privacy4Cars California, LLC is registered in California for the purpose of acting as a third-party CCPA request processor. We currently track ~500 entities who collect, share, sell, and broker vehicle data.

By deleting your data you can shrink your digital footprint, improve your privacy and security, and reduce the risk of identity theft, stalking, micro-targeting, and automated decision-making based on your behavior when you drive. Act now!

Please fill this form to designate and appoint Privacy4Cars California, LLC to represent you as your authorized agent to act on your behalf for the purposes of:

1. Submitting CCPA requests to first-party businesses, data brokers, and third parties, etc.;
2. Communicating on your behalf with these businesses regarding your CCPA requests;
3. Exercising your data rights under any U.S. or California state privacy laws, including the CCPA; and
4. Filing complaints on your behalf with governmental agencies (e.g., CPPA, FTC, etc.) and nongovernmental entities (e.g., BBB) for any privacy law violations that may arise in the process (optional).

The personal information you provide will be purged once your CCPA requests have been fulfilled. We will anonymize the other data (e.g. VINs, businesses contacted, outcome of those contacts, response times) so we can utilize those statistics to improve this service to help other consumers.

AUTHORIZED AGENT INFORMATION

Authorized Agent Name: Privacy4Cars California, LLC

Entity Address: 300 North Brand Boulevard, Glendale, CA 91203

Mailing Address: P.O. Box 287433, New York, NY 10128, USA

Email Address: privacyrights@privacy4cars.com

California Entity Number: 202107910105

Full Name(Required)

First Name Last Name

Email Address(Required)

Phone Number(Required)

Address(Required)

Street Address City ZIP / Postal Code

What is the year, make, and model of the vehicle? (e.g., 2016 Toyota Corolla LE)(Required)

Enter the 17 digit Vehicle Identification Number (VIN) of the vehicle(Required)

Are you the owner of this Vehicle?(Required)

Yes, I am/was the vehicle owner.

No, I am/was not the vehicle owner.

If you are not the vehicle owner on record, then what is your relationship to the vehicle owner?

I am the vehicle owner's child.

I am the vehicle owner's spouse or civil partner.

I rented the vehicle.

I leased the vehicle.

I financed the vehicle.

Use Case

Which of the following apply?(Required)

I sold a vehicle

I returned the vehicle at the end of lease

I purchased a vehicle

I used a company vehicle

I had a total loss accident

My vehicle was repossessed

I rented a vehicle

Other

Other(Required)

Privacy4Cars’ Authorization Agreement

I, , hereby designate Privacy4Cars California, LLC (“Privacy4Cars”) as my authorized agent under California Consumer Privacy Act and its amendment California Privacy Rights Act, and all other applicable privacy and data security laws, rules and regulations, and any subsequent legislation applicable to the exercise of my individual rights in California and any other applicable jurisdictions (“My Privacy Rights”).

My agent, Privacy4Cars, is authorized to exercise My Privacy Rights on my behalf, including without limitation, to submit and perform the following acts for me:

I authorize Privacy4Cars(Required)

Request to access my personal information (a copy of your personal information will only be sent to me, not Privacy4Cars, for privacy and security purposes)

Request to delete my personal information

Request to opt-out of the sale or sharing of my personal information

Request to opt-out of targeted advertising

Request to opt-out of automated individual decision-making, including profiling

Request to limit the use of sensitive personal information

Communicate with any governmental agency (e.g., California Privacy Protection Agency) or non-governmental entities for the purpose of lodging complaints in relation to my consumer privacy rights

Further, I hereby consent to the processing of my personal information by Privacy4Cars for the purpose of exercising my Privacy Rights.

I certify the information I provided on and in connection with this form is true and correct to the best of my knowledge.

Electronic Signature of Requestor (please type in your full name)(Required)

Vehicle(s) Sold Section

This section applies if you sold a vehicle in the past 12 months

Enter the (approximate) date in which you sold the vehicle?(Required)

DD dash MM dash YYYY

How did you sell it?(Required)

If returned the vehicle at the end of lease

This section applies if you returned the leased vehicle in the past 12 months

Dealership Name(Required)

Dealership Address(Required)

Enter the (approximate) date in which you returned the vehicle?(Required)

DD dash MM dash YYYY

New/Used Vehicle(s) Purchased Section

This section applies if you purchased a new or a previously owned vehicle in the past 12 months

Enter the (approximate) date in which you purchased the vehicle?(Required)

DD dash MM dash YYYY

From whom did you purchase the new/used vehicle?(Required)

Private Party

Dealer

Company Vehicle Section

This section applies if you used a company vehicle in the past 12 months that is no longer used by you or was used by other employees as well.

Enter the name of the company and address that gave you use of the company vehicle(Required)

if you know it, enter the name of the fleet management company (if your company uses one)(Required)

ARI

Doering

Element

Lease Plan

Wheels

Other

Other(Required)

If the vehicle was an accident/total loss vehicle.

Enter the (approximate) date in which your vehicle was in an accident or totaled.(Required)

DD dash MM dash YYYY

Enter the name of the vehicle insurance provider and/or the agent(Required)

Enter your insurance policy number (optional but strongly recommended)

Did you subscribe to an insurance package that tracks your driving behavior to give you discounts?

Yes, via a dongle I had to plug inside the vehicle OBD-2 port (typically under the steering wheel)

Yes, via a device I had to install in the vehicle and connect over Bluetooth

Yes, via a mobile app from my insurer

Yes, through an insurance package offered by/in partnership with my vehicle manufacturer

No, but I was given an app to keep track of my mileage and I pay for the miles I drive

No, I have traditional insurance that does not measure my driving behavior

Vehicle(s) Repossessed Section

This section applies if your vehicle was repossessed by an auto finance company or a dealership

Who repossessed your vehicle?(Required)

A bank/auto finance company

A dealership

Rental Vehicle(s) section

This section applies if you rented a vehicle in the past 12 months.

Which of the following companies did you rent from in the last 12 months?(Required)

Advantage

Alamo

Avis

Budget

Dollar

Enterprise

Hertz

Midway

National

Payless

Sixt

Thrifty

Other

Other(Required)

If sold to private party.

We recommend you reach out to the private party and ask them to remove your data. You can download our privacy4cars app for Android or Apple at https://privacy4cars.com/personal-use/delete-data-from-a-car/. Depending on the vehicle, we may be able to add data requests to OEMs and a number of third parties to remove your data.

If sold to a dealer.

Enter the name and address of the dealer(Required)

If you donated your vehicle to a charity.

Enter the name and address of the charity to whom you gifted your vehicle(Required)

Used Vehicle Purchased (Private party)

We recommend you reach out to the private party and ask them to disconnect/unsubscribe to any service they had activated on the vehicle you purchased. You can download our privacy4cars app for Android or Apple at https://privacy4cars.com/personal-use/delete-data-from-a-car/. Depending on the vehicle, we may be able to add data requests to OEMs and a number of third parties to remove your data and disconnect the previous owner from your vehicle.

New/Used Vehicle Purchased (Dealer)

Enter the name and address of the dealer from whom you purchased the vehicle.(Required)

Bank/auto finance company repossession.

Enter the name and (if available) the address of the financial institution that repossessed the vehicle

Enter the account number for the loan that defaulted (optional but recommended)

Dealership repossession.

Enter the name and address of the dealer that repossessed the vehicle (likely the same dealership where you financed the vehicle).

Add vehicle rental information

Enter the date in which you started renting vehicle(Required)

DD dash MM dash YYYY

Enter the date in which you returned the rented vehicle(Required)

DD dash MM dash YYYY

Add the transaction number or the stock number that uniquely identifies the vehicle (optional but recommended)

If available, upload a copy of rental confirmation (receipt scan or screenshot)

Max. file size: 100 MB.

Privacy4Cars’ Authorization Agreement

My agent, Privacy4Cars, is authorized to exercise My Privacy Rights on my behalf, including without limitation, to submit and perform the following acts for me:

I authorize Privacy4Cars(Required)

Request to access my personal information (a copy of your personal information will only be sent to me, not Privacy4Cars, for privacy and security purposes)

Request to delete my personal information

Request to opt-out of the sale or sharing of my personal information

Request to opt-out of targeted advertising

Request to opt-out of automated individual decision-making, including profiling

Request to limit the use of sensitive personal information

Communicate with any governmental agency (e.g., California Privacy Protection Agency) or non-governmental entities for the purpose of lodging complaints in relation to my consumer privacy rights

Further, I hereby consent to the processing of my personal information by Privacy4Cars for the purpose of exercising my Privacy Rights.

I certify the information I provided on and in connection with this form is true and correct to the best of my knowledge.

Electronic Signature of Requestor (please type in your full name)(Required)

Privacy4Cars’ Authorization Agreement

My agent, Privacy4Cars, is authorized to exercise My Privacy Rights on my behalf, including without limitation, to submit and perform the following acts for me:

I authorize Privacy4Cars(Required)

Request to access my personal information (a copy of your personal information will only be sent to me, not Privacy4Cars, for privacy and security purposes)

Request to delete my personal information

Request to opt-out of the sale or sharing of my personal information

Request to opt-out of targeted advertising

Request to opt-out of automated individual decision-making, including profiling

Request to limit the use of sensitive personal information

Communicate with any governmental agency (e.g., California Privacy Protection Agency) or non-governmental entities for the purpose of lodging complaints in relation to my consumer privacy rights

Further, I hereby consent to the processing of my personal information by Privacy4Cars for the purpose of exercising my Privacy Rights.

I certify the information I provided on and in connection with this form is true and correct to the best of my knowledge.

Electronic Signature of Requestor (please type in your full name)(Required)

hCaptcha(Required)