Data Subject Request Form
Mindora Data Subject Request Form
Clearpath Commerce LLC, doing business as Mindora ("Mindora," "we," "us," or "our") respects your privacy rights.
As required under applicable law, including:
The California Consumer Privacy Act of 2018, as amended by the California Privacy Rights Act of 2020 ("CCPA")
The Virginia Consumer Data Protection Act ("VCDPA")
The Colorado Privacy Act ("CPA")
The Connecticut Data Privacy Act ("CTDPA")
The Utah Consumer Privacy Act ("UCPA")
(collectively, the "Data Protection Laws"),
individual consumers may submit requests to exercise rights regarding their Personal Data or Personal Information.
To submit a request, please complete this form and send it to:
Upon receipt, we will process your request within the timelines required under applicable Data Protection Laws. If additional information is needed, we will contact you using the information provided. Information submitted through this form will be used solely to process and respond to your request.
For more information, please review our Privacy Policy.
1. Contact Information
Full Name:
Email Address:
If applicable, U.S. State of Residence:
2. What is Your Relationship with Us?
☐ Merchant
☐ End-User
☐ Prospect / Website Visitor
☐ Vendor
☐ Other: ____________
3. Your Request
Below are the rights you may exercise depending on your state of residence.
A. California (CCPA)
Note: Under the CCPA, rights apply to Personal Information collected within the previous 12 months, and you may submit no more than two requests in a 12-month period.
☐ Right to Know / Access
☐ Right to Deletion
☐ Right to Data Portability
☐ Right to Non-Discrimination
☐ Right to Rectification
☐ Right to Limit the Use and Disclosure of Sensitive Personal Information
☐ Right to Opt-Out of Sale
☐ Right to Opt-Out of Sharing for Cross-Contextual Behavioral Advertising
☐ Opt-Out of Automated Decision-Making
CCPA Opt-Out Without Form:
You may also exercise opt-out rights through:
Device-level privacy settings
Global Privacy Control (GPC) signals
Opting out of targeted advertising does not eliminate all advertisements.
Authorized agents may submit requests on your behalf with appropriate verification.
We will respond within 45 days, with a possible 45-day extension if necessary.
B. Virginia (VCDPA)
☐ Right to Confirm Processing and Access Data
☐ Right to Deletion
☐ Right to Data Portability
☐ Right to Correct Inaccuracies
☐ Right to Opt-Out of Targeted Advertising, Sale, or Profiling
☐ Other
We respond within 45 days (extendable if necessary). Appeals will be addressed within 60 days.
C. Colorado (CPA)
☐ Right of Access
☐ Right to Correction
☐ Right to Deletion
☐ Right to Data Portability
☐ Right to Opt-Out of Targeted Advertising, Sale, or Profiling
☐ Other
Response timeframe: 45 days (extendable by 45 days if necessary).
D. Connecticut (CTDPA)
☐ Right to Confirm Processing
☐ Right to Correction
☐ Right to Deletion
☐ Right to Data Portability
☐ Right to Opt-Out of Targeted Advertising, Sale, or Profiling
☐ Other
Where consent is revoked, we will cease processing as required by law.
E. Utah (UCPA)
☐ Right to Confirm Processing
☐ Right to Access
☐ Right to Deletion
☐ Right to Data Portability
☐ Right to Opt-Out of Targeted Advertising or Sale
☐ Other
Response timeframe: 45 days (extendable if necessary).
F. Important Notice Regarding Deletion Requests
Deletion rights are not absolute. We may retain information where necessary to:
Complete transactions or provide requested services
Detect or prevent fraud or security incidents
Debug or repair system errors
Comply with legal obligations
Conduct lawful research
Maintain internal uses consistent with your relationship with us
Comply with other lawful obligations
Where applicable, we will delete or de-identify information not subject to an exception.
4. Identity Verification
To process your request, we must verify your identity. We cannot respond if we cannot verify your identity or authority.
Please describe your request in detail:
Please send the completed form to:
We will respond within the timeframe required under applicable Data Protection Laws. We reserve the right to extend the response period if the request is complex, numerous, or requires additional information.