CCPA Information Request

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CCPA Consumer Request Concerning Personal Information

Consumers who are requesting to exercise their rights under the California Consumer Privacy Act (CCPA) are required to submit this form. Proof of identity may be required to ensure that the request is valid. It is your responsibility to send any sensitive data through secure methods.

Once validated, each request should receive a response within 45 business days. However, you will be informed if more time is needed as certain limitations may affect our ability to adhere to your request within this timeframe.

Complete each of the required fields below and enter submit. If you prefer, you may also print out this page to fill out by hand. Handwritten versions may be completed and submitted through document scanning to or through standard U.S. Mail. We will communicate back with you using the method you specify below. Where applicable, email or U.S. Mail may be used for responses. All information collected through this verification process will only be used for verification purposes and then destroyed. If you have any questions, you can email us at or by calling 800-429-7473.

Corrections to your data

After filling out this form and recieveing your data, you can make any necessary corrections by replying to

Please enter the consumer's full name
Please enter the consumer's RC Willey account number

Consumer's Home Address

Please enter the consumer's address
Please enter the consumer's city
Please enter a state
Please enter the consumer's zip code
Please enter the consumer's phone number
Please enter the consumer's email address

If you answered "no" to the above, please complete the following required fields. Note, if you are not the consumer noted above, you will need to provide the consumer's written or other legal authorization that you are allowed to make requests on behalf of the consumer. Please email proof of authorization to

Please enter the requesting party's full name

Requesting Party's Home Address

Please enter the requesting party's address
Please enter the requesting party's city
Please enter a state
Please enter the requesting party's zip code
Please enter the requesting party's phone number
Please enter the requesting party's email address
Please enter the requesting party's relationship to the consumer

Click one or more of the boxes below to receive more information about RC Willey's collection of your personal data.

Please indicate one or more preferred methods of communication

By clicking here, you certify with your digital signature that all of the information provided above is correct and that you are authorized to make this request.

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