CALIFORNIA CONSUMER PRIVACY ACT REQUEST FORM

First Name*: First Name is required.

Last Name*: Last Name is required.

I am a California resident*:

Yes

No

This field is required.

Please note you must be a California resident to request information based on the California Consumer Privacy Act.

Unit/Apt:

Street Address*: This field is required.

City*: This field is required.

State*: This field is required.

Zipcode*: This field is required.

Email*:

Phone Number*:

Type of Request*:

Access Request

Please send me a copy of the information Yoshinoya America has collected about me in the last twelve months.

Request to Know

Categories of personal information collected about me in the last twelve months.
Categories of sources from which the personal information about me was collected.
Business purpose for which Yoshinoya America uses the personal information collected about me.
Categories of third parties with whom Yoshinoya America shares or has shared the personal information collected about me in the last twelve months.

Request for Deletion

Please delete all personal information that Yoshinoya America has collected from me.

Request to Opt Out

I do not want my personal information to be sold. Please cease and refrain from selling my personal information.

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This request has been submitted through an agent on my behalf*:

Yes

No

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Agent's First Name: This field is required.

Agent's Last Name: This field is required.

This agent has been authorized in writing to submit this request on my behalf:

Yes

No

This field is required.