California Privacy Rights Act (CPRA) Request Form

Please provide us with your full name and valid email address.

For those submitting this request on behalf of a California resident, please provide your full name and email address in the first section below.

All communication regarding your request will take place in our secured portal. Reports in response to requests may be provided electronically via email or may be mailed to you.

Please provide the full name and email address of the individual you are submitting a request for, if different from the information provided above.

Please fill out your contact information, or the contact information of the individual you are submitting this request for (if submitting on behalf of another). All contact information should be consistent with information previously provided to SPR Therapeutics.

By submitting this form, under penalty of perjury, I certify that I am the individual consumer whose personal information is the subject of this request or that I am the authorized representative of the individual whose personal information is the subject of this request. The information I have provided is true, accurate, and complete, and I give my consent for SPR Therapeutics and its agents to use such information in responding to my request. I understand that I may be required to provide proof of my identity and if I am authorized agent, that I will be required to provide proof in writing of my status of the individual’s authorized agent and additional information to confirm my identity. I acknowledge and agree to the terms set forth above, inclusive of the terms in SPR Therapeutics’ Privacy Statement and the CPRA, as applicable. It is my intention that this electronic request to exercise a right under the CPRA shall carry the same force and effect as if I had manually signed this request.