About this template
The California Consumer Privacy Act (CCPA) and the California Privacy Rights Act (CPRA) grant consumers vital rights regarding their personal data, including the right to opt out of the sale or sharing of their information. Businesses that collect data from California residents must provide a clear, accessible mechanism to handle these requests promptly.
This CCPA Opt-Out Google Form template streamlines the compliance process by collecting essential consumer information and specific privacy preferences securely. Instead of dealing with complex paperwork or custom backend development, organizations can quickly deploy this ready-to-use form to capture opt-out requests, verify consumer identities, and document compliance records automatically in Google Sheets.
Designed for legal compliance, customer support teams, and privacy officers, this template ensures all necessary details—from contact information to specific communication and data-sharing restrictions—are gathered accurately while maintaining a professional and transparent experience for your users.
Key features
- Streamline CCPA and CPRA opt-out request intake instantly.
- Collect verified consumer contact and residency details securely.
- Organize and track all privacy submissions directly in Google Sheets.
- Easily embed on your website privacy page or share via direct link.
- Fully customizable to align with your organization's brand and guidelines.
Use cases
Handling consumer 'Do Not Sell My Personal Information' requests on e…
Handling consumer 'Do Not Sell My Personal Information' requests on e-commerce sites.
Managing privacy rights compliance for SaaS platforms and digital ser…
Managing privacy rights compliance for SaaS platforms and digital services.
Processing authorized agent submissions on behalf of California resid…
Processing authorized agent submissions on behalf of California residents.
What this form collects
- Full Name (Short answer)Enter your first and last name.
- Email Address (Short answer)Provide the primary email address associated with your account or interactions with our business.
- State of Residence (Dropdown)CCPA rights apply primarily to residents of California.
- Are you submitting this request on behalf of someone else? (Multiple choice)Select whether you are the consumer or an authorized representative.
- Representative Full Name (Short answer)If you are an authorized agent, please enter your full name and organization.
- Opt-Out & Communications Status (Checkboxes)Select the specific privacy request you would like to make regarding your personal data.
- Additional Details or Specific Accounts (Paragraph)Please provide any extra details, account usernames, or specific services you wish us to locate in our records.
FAQ
What is a CCPA opt-out form?
It is a formal mechanism that allows California residents to exercise their right under the California Consumer Privacy Act to direct a business not to sell or share their personal information.
Who is required to provide a CCPA opt-out option?
Businesses that collect consumers' personal data, operate in California, and meet specific revenue or data-processing thresholds must provide an accessible 'Do Not Sell or Share My Personal Information' link and form.
Can an authorized agent submit this form on behalf of a consumer?
Yes, many privacy request forms include options to indicate whether the submitter is the consumer themselves or an authorized representative acting on their behalf.
How do I collect and review submissions using Doc2Form?
When you convert or use this template as a Google Form, all responses are automatically compiled into a linked Google Sheet for secure tracking, review, and compliance auditing.
Can I customize the questions on this template?
Yes! Once your template is generated as a Google Form, you can fully edit, add, or remove fields to match your organization's specific legal workflows and branding requirements.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.