Personal Data Request

If you are a California resident and wish to make a request to know and/or delete under the California Consumer Privacy Act, please fill out this form. The information you supply in completing this form will be used only for the purposes of verifying that you are the consumer about whom you are making the request, and providing responses to the request. We shall respond and follow-up as necessary to the email address that you provide below, which may also be used for verification purposes. Upon receipt of this completed form, we will initiate the verification and response process. The verification process will vary by the nature of the request. Requests to delete are subject to verification. Please note that these processes may involve multiple communications. Requests may also be made by phone, toll-free, at 855-967-1957.
Request Type (Select all that apply) *
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Requestor Relationship to Topcon (Select all that apply) *
Please provide any additional identifying information we may need to find any data you are requesting:
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