CCPA Use & Sharing of Sensitive Information Form

Please see additional notes below the form.

CCPA Opt-Out from the Use and/or Sharing of Your Sensitive Personal Information

If you are a California State resident, you may be able to opt-out from our use of your sensitive personal information and/or our sharing of your sensitive personal information with third parties by indicating below, and providing the requisite information. For additional discussion of your privacy rights, please visit our Privacy Policy by Clicking Here.
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Users with disabilities (and any other users) who wish to opt-out of the use and/or sharing of their sensitive personal information an also contact us by emailing us at: emailing us at: privacy@citizensdisability.com; calling us at: (781) 516-7715; or sending us mail to: Citizens Disability, 1050 Winter Street, Suite 1000, Waltham, MA 02451.

If we have a good-faith, reasonable and documented belief that a request to opt-out is fraudulent, we may deny the request.

Where you make a request to opt-out of the use and/or sharing of your sensitive personal information through an authorized agent, we will require that you or the authorized agent provide us with a valid written authorization executed by both parties, with the validity of such document determined by us in our reasonable, good faith discretion. Please submit such documentation to us at: privacy@citizensdisability.com; or Citizens Disability, 1050 Winter Street, Suite 1000, Waltham, MA 02451.

For additional discussion of your privacy rights, please visit our Privacy Policy by Clicking Here.