CCPA CONSUMER REQUEST FORM FOR CALIFORNIA RESIDENTS

STATEMENT OF PURPOSE
We (Vizient and its subsidiaries and affiliates) value our obligation to protect your personal information and take it very seriously. The California Consumer Privacy Act (CCPA) provides residents of the State of California who are consumers the right to request, to know, to stop the sale and/or to delete their personal information collected by certain entities. To enable us to address your consumer request under the CCPA, please complete this form in its entirety, and check the box below verifying that the information you submit is correct. The information and documentation to be provided by you is required by us to confirm that you are who you claim to be, to locate your personal information within our systems and to determine whether we may have a lawful reason to deny your request. If you do not complete this form in its entirety and do not provide us all of the requested information, we will not be able to process your request and will take no further action. If you have used more than one email address when corresponding with us, submit a separate request for each.