## Propel  California Opt-Out Request Webform

If you are a California resident, you may be able to exercise certain data rights under the California Consumer Privacy Act (“ **CCPA**”), including the right to opt out of the sale of your personal information (“ **Right to Opt Out**”). Please complete this form to submit your request to exercise the Right to Opt Out under the CCPA. For more information regarding these rights and additional rights you may have under the CCPA, please see our [California Privacy Disclosures](https://www.propelplm.com/caprivacy).

In certain circumstances, we may require additional information if we are unable to verify your request based on the information you have provided. The personal information submitted in connection with this request will be used for the purpose of processing your request.

### Are you submitting this request on your own behalf?
- Yes, I am the consumer the personal information is about.
- No, I am acting on behalf of the consumer the personal information is about and I am authorized by the consumer to act on their behalf.\* Fields marked with an asterisk (\*) must be completed in order to submit this form. Complete the following fields using the consumer’s information.

**First & Last Name\***  
**Job Title**  
**Email Address\***  
**Mobile Phone Number**

**Address**  
**City**  
**State\***  
**Zip Code**

*If you’re an Authorized Agent submitting a request on behalf of a consumer, you must attach written authorization from the consumer indicating you’ve been authorized to submit a request on their behalf. The form must be signed by both parties. All forms not signed will be rejected.*

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