Authorized Agent Opt-Out Letter for California, Colorado, Connecticut, and Oregon
[Your Full Name]
[Your Address]
[City, State, ZIP Code]
[Your Email Address]
[Date]
To Whom It May Concern:
I, [Your Full Name], hereby designate [Authorized Agent’s Full Name/Company Name] as my authorized agent under the following state privacy laws (Please select the applicable statements below based on your state of residence):
● California: I authorize [Authorized Agent’s Name] to exercise my right under the California Consumer Privacy Act (CCPA) to opt out of the sale or sharing of my personal information. I consent to [Authorized Agent’s Name] processing my personal information solely to fulfill this request.
● Colorado: I authorize [Authorized Agent’s Name] to exercise my right under the Colorado Privacy Act (CPA) to opt out of the processing of my personal data for targeted advertising, the sale of personal data, or certain profiling. I consent to [Authorized Agent’s Name] processing my personal information to execute this opt-out.
● Connecticut: I authorize [Authorized Agent’s Name] to exercise my right under the Connecticut Data Privacy Act (CTDPA) to opt out of the sale of my personal data. I consent to [Authorized Agent’s Name] processing my personal information to facilitate this request.
● Oregon: I authorize [Authorized Agent’s Name] to exercise my right under the Oregon Consumer Privacy Act (OR CPA) to opt out of the sale or sharing of my personal data. I consent to [Authorized Agent’s Name] processing my personal information to carry out this opt-out.
I understand I may withdraw this authorization at any time by notifying [Authorized Agent’s Name] in writing.
Sincerely,
[Your Full Name]
[Your Signature (if submitting a physical copy)]



