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Home » CCPA Request
I. Requestor Name (Data Subject) and Contact Information
Please provide the data subject’s information in the space provided below. If you are making this request on the data subject’s behalf, in addition to the information requested below, you are also required to provide your name and contact information in Section III.
We will only use the information you provide on this form to identify you and the personal data you are requesting to erasure, and to respond to your request.
Country of Origin (required)
First Name (required)
Last Name (required)
Any other names that you have been known by (including nicknames):
Home Address (required)
Date of Birth (required)
Telephone Number (required)
Registered Email Address (required)
Please provide other unique identifiers or related information to help us locate your personal data (for example, Mimeo customer account number)
Which Mimeo services do you currently use? *
Mimeo PrintMimeo PhotosMimeo MarketplaceMimeo PrintXMimeo DigitalOther
II. Proof of Data Subject’s Identity
To prevent fraudulent removal requests from people impersonating others, trying to harm competitors, or improperly seeking to suppress legal information, we need to verify the identity of the person on whose behalf the request is made (the relevant individual). We accept a photocopy or a scanned image of the following as proof of identity: passport or photo identification such as a driver’s license, national identification number card, or birth or adoption certification. You may also obscure any parts of the document (e.g. ID number) as long as the remaining information identifies the relevant individual. If you have changed your name, please provide a relevant document evidencing the change. Mimeo will use this information solely to help us assess and document the authenticity of your request and will delete the copy within a month of closing your erasure request except as otherwise required by law.
We may request additional information from you to help confirm your identity and your right to erasure. We reserve the right to refuse to act on your request if we are unable to identify you.
Allowed file types: PDF, Image (jpeg or png). Max file size: 8MB
III. Requests Made on a Data Subject's Behalf
Please complete this section of the form with your name and contact details if you are acting on the data subject's behalf.
Country of Origin
Date of Birth
IV. What Data Are You Requesting?
Your rights to request access to personal data and other information are set in our Privacy Notice for California Residents.
Please describe what personal data and other information you are requesting access to or deletion of.
Description of the personal data and information requested including details of any specific documents or information you are asking for (where relevant).
This request is reserved for California Residents only. Before proceeding, please attest to your California residency.
I attest under penalty of perjury that I am a California resident or I am an authorized agent submitting this request on behalf of a California resident.
Sign below by entering your full name and today's date.
Full Name (required)
Today's Date (required)
Please select your appropriate Mimeo site experience.