CCPA-CPRA Consumer Request Form

Please complete this Request Form to submit a request to Organogenesis regarding your rights under the California Consumer Privacy Act of 2018 ("CCPA"). We will not discriminate against you in any way for exercising your rights. Upon receipt of a Request Form, we may contact you to request reasonable identity verification information in accordance with the CCPA and all applicable law. In addition, if an authorized agent submits this Request Form on your behalf, we may contact you to obtain a written authorization regarding the agent if we have not received one already. Organogenesis will promptly process this Request Form and provide you with confirmation or response as required under the CCPA.

Please refer to our website privacy policy for additional information regarding the categories of Personal Information that we collect, the purposes for which we use and disclose Personal Information, and your rights under California law.

Personal Details

Check this box if you are submitting this Request Form as an authorized agent for another individual. If so, please complete the personal details below for the data subject, and then include the same personal details for yourself in the "Additional Request Details" field below.

Name

Date of Birth

Email Address

Mailing Address

Telephone Number

Relationship with Organogenesis

Customer or Patient

Employee or Job Applicant

Other

Type of Request

Know and Access.

I want to know and access the Personal Information that Organogenesis has collected about me.

Delete.

I want Organogenesis to delete Personal Information that it has collected about me.

Correct.

I want Organogenesis to correct Personal Information that it has collected about me.

Limit Use and Disclosure of Sensitive Personal Information.

I want Organogenesis to limit the use and disclosure of Sensitive Personal Information that it has collected about me. In accordance with the CCPA and all applicable law, I understand that Organogenesis will maintain the right to continue using and disclosing my Sensitive Personal Information in a manner that is reasonably necessary and proportionate for any of the following business purposes:

Performing and providing its regular services and goods.
Preventing, detecting, and investigating security incidents that compromise the availability, authenticity, integrity, and confidentiality of stored or transmitted personal information.
Resisting malicious, deceptive, fraudulent, or illegal actions and prosecuting those responsible for those actions.
Ensuring the physical safety of natural persons.
Short-term transient use, including non-personalized advertising shown as part of a consumer's current interaction with Organogenesis.
Performing services on behalf of Organogenesis, such as maintaining or servicing accounts, providing customer service, processing or fulfilling orders and transactions, verifying customer information, processing payments, providing financing, providing analytic services, or providing storage.
Verifying or maintaining the quality or safety of a service, product, or device that Organogenesis owns, manufactures, or controls, or improving, upgrading, or enhancing any such service, product, or device.
Collecting or processing Sensitive Personal Information where the collection or processing is not for the purpose of inferring characteristics about any consumer

Please also note that, as permitted by the CCPA, Organogenesis reserves the right to use Personal Information or Sensitive Personal Information whenever necessary to (i) comply with any applicable law or court order or subpoena issued by a court or government agency of proper jurisdiction; (ii) comply with a civil, criminal, or regulatory inquiry, investigation, or summons by federal, state, or local authorities; (iii) cooperate with any government agency concerning conduct that may violate any applicable law or in an emergency situation; or (iv) exercise or defend any rights or legal claims.

Additional Request Details

Please provide all relevant additional information, which may help us to process your request. For example, for a Request to Delete, explain whether you want Organogenesis to delete all Personal Information or explain which specific Personal Information you want deleted. For a Request to Correct, state the Personal Information that is incorrect and how it should be corrected.

Response

If you submit a Request to Know and Access, Delete, or Correct your Personal Information, we will make our best efforts to provide you with written confirmation of receipt of your request within ten (10) business days. We will also provide you with written notice once we have finished processing your request within forty-five (45) calendar days of the date on which we received your request.

If you submit a Request to Limit the Use and Disclosure of your Sensitive Personal Information, we will provide you with written notice once we have finished processing your request, which will occur within fifteen (15) business days of the date on which we received your request.

Certification

I certify and swear under the penalties of perjury that the information provided on this Request Form is correct to the best of my knowledge and that I am the person to whom the Personal Information described above relates, or an authorized representative of such person with the required permission to submit this Request Form. I understand that my rights as a California resident are subject to certain exceptions and limitations, including some which may not be expressly listed in this Request Form. In accordance with the CCPA and all applicable law, Organogenesis may decline to process my Request Form in certain circumstances if, upon reasonable request by Organogenesis, I am unable or decline to provide suitable verification information that is necessary to effectuate this Request Form.

I agree

Thank you. We are processing your request... We are unable to process your request at this time. Please try again later.

THANK YOU

Your information has been received.