Consumer Privacy Rights Request Form

1

Your Information

First Name *

Last Name *

Email Address *

Phone Number

Street Address (optional)

City

State / Province *

ZIP / Postal Code

Country *

Sales Order Number (if applicable)

Account Email (if different from above)

2

Privacy Request

Select all that apply to your request:

Request Access to My Personal InformationReceive a copy of the personal information Spectra Baby USA holds about you. Request Correction of My Personal InformationAsk us to correct inaccurate personal information we hold about you. Request Deletion of My Personal InformationAsk us to delete personal information we hold about you, subject to certain exceptions. Request a Portable Copy of My Personal InformationReceive your data in a structured, commonly used, machine-readable format. Withdraw Consent (where applicable) – Withdraw previously given consent to process your personal information. Limit Use of Sensitive Personal Information (where applicable) – Restrict how we use sensitive categories of your personal data. Do Not Sell or Share My Personal Information (where applicable under California law and other applicable laws) Opt Out of Targeted Advertising (where applicable) – Stop the use of your personal information for targeted advertising.

Other:

3

Identity Verification

I am the individual identified above. I am an authorized agent acting on behalf of the individual named in Section 1.

Authorized Agent Details

Agent Full Name *

Agent Email *

Agent Phone

Relationship to Individual *

Government-Issued Documentation Documentation may be requested by our privacy team separately.

4

Additional Information

Additional Details Optional – include purchase dates, product names, or any other relevant context.

5

Electronic Signature & Certification

Type Full Legal Name *

Date *

By submitting this form, you certify that:

The information provided is true and accurate to the best of your knowledge.
You are the individual named above or their authorized agent.
You understand Spectra Baby USA may contact you to verify your identity.
You understand requests may be denied if your identity cannot reasonably be verified.
You understand that if your request is denied, you may have the right to appeal under applicable law.

I certify that the information provided is true and accurate. I am the individual or authorized agent submitting this request.

Privacy Rights Notice Spectra Baby USA does not sell Personal Information for monetary consideration. If California law or another applicable law provides you with additional privacy rights, you may exercise those rights using this form where applicable. We will review your request, may request additional verification, and respond within the timeframe required by applicable law. We will not discriminate against you for exercising your privacy rights.

Consumer Privacy Rights Request Form

Request Received

Privacy Contact

Mailing Address

Response Time