Individual Rights Request Form

(Please Print or Copy to Email, this is not a web assessible form.)

If you are a resident of certain U.S. states, you may have additional rights pursuant to applicable state laws.  If you would like to exercise such rights, please provide us with the following information so that we can verify your identity and determine what Personal Information we have collected about you:

 

Full Name

 

 ­­______________________________________________________________

Email address:

 

 ­­­­­­­­­______________________________________________________________

Phone Number:

 

 ______________________________________________________________

State of Residence:

 

 ______________________________________________________________

Relationship with Us:

 

 ☐ Customer (or representative of a customer)
☐ Service provider (or representative of a service provider)
☐ Employee (current or past)
☐ Job applicant (current or past)
☐ Other (please explain): ________________________________________
 
Right(s) Exercised: ☐ Right to confirm whether or not we are processing your Personal Information and to access such Personal Information.
☐ Right to know what Personal Information we have collected about you, including the categories of Personal Information that we have collected about you.
☐ Right to know the categories of sources from which Personal Information is collected.
☐ Right to know our business or commercial purpose for collecting, selling or sharing Personal Information.
☐ Right to know the categories of third parties with whom we disclose Personal Information.
☐ Right to know the specific pieces of Personal Information we have collected about you.
☐ Right to delete your Personal Information.
☐ Right to correct inaccurate Personal Information that we maintain about you.
☐ Right to obtain a copy of your Personal Information that you provided to us.

 

Once you have completed the above, and signed below, please return this form to us via mail or email at:

 

Nucor Corporation
1915 Rexford Rd,
Charlotte, NC 28211

Attn: Individual Rights Requests

E-mail: CCPA@nucor.com

 

 

I represent and warrant that all of the information I have included in this form is true and accurate, that I am the individual I have represented myself to be herein, and that I am a resident of the state written above.

 

 

_____________________________________________________    ___________________________________________

Signature                                                                      Date           Printed Name