Request to Know Info

California Consumer Verified Request to Know What Personal Information Portillo’s Collects, Uses, Discloses, and Sells under the CCPA

First Name: *

Last Name *

Email Address *

Phone Number *

Birthdate *

Date of Consumer Request: *

By submitting this form, I, the California Consumer identified above, request that Portillo’s disclose the following information to me pursuant to the CCPA (check all that apply):

Check Boxes *

Specific pieces of personal information that Portillo’s has about me;
Categories of personal information Portillo’s has collected about me;
Categories of sources from which the personal information is collected;
Categories of personal info that Portillo’s sold or disclosed for a business purpose about me;
Categories of third parties to whom the personal info was sold or disclosed for a business purpose;
The business or commercial purpose for collecting or selling personal information.

By typing my name below, I confirm that I am the person identified below (or the authorized agent of the person identified below), I am a California Consumer, and I wish Portillo’s to take the action identified herein regarding my Personal Information above.

Please choose today's date when submitting the form.

Date *

Name (First and Last) *

Authorized Agent’s Name (If applicable):