Personal Data Request Form - NUVVE Holding Corp

PERSONAL DATA REQUEST FORM

To enable us to address your consumer request under the CCPA, please complete this form in its entirety. Your request will be sent to our team to process your request. Thank you!

I am a:

First Name

Last Name

Email

Resident of:

Which State?

Type of Information Request

Access My Information

Correct or Update My Information

Delete My Information

Restrict Use of My Information

Opt-out or Unsubscribe

Transfer My Information

Who Has Received My Information

Please indicate additional information as needed, such as product or service purchased from Nuvve and its subsidiaries.

By submitting this request, I am confirming the following: (1) Accuracy: the information I have provided is true and accurate; (2) Privacy: that I understand the information will be handled by Nuvve in accordance with its Privacy Policy; (3) Contact: that Nuvve has the right to contact me to verify my identity and to process this request.

I agree and confirm.

Name of Requestor:

Signature of Requestor:

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