US Data Subject Privacy Request Form Here at Sprouts, we value your privacy and care about the protection of your personal information. Certain State laws provide rights to their residents with respect to their personal information. To help us process your request, please provide the following information, and please note that multiple request types require a separate submission for each request. For more details and information about how we use and protect your personal information, please review our Privacy Policy available at https://www.sprouts.com/privacy/. Data Subject Request *I am a resident of the following state: —Please choose an option—CACODENJTXUTVA *I am a: —Please choose an option—customercurrent California employeeformer California employee *I am submitting this request on the behalf of:—Please choose an option—MyselfAnother Person *Under certain laws, you may submit this request on behalf of another. If you are an authorized agent, complete this online form with the information about the person about whom you are making a request. You must also complete an Authorized Agent Designation form. If we do not receive a completed Authorized Agent Designation Form, we will not be able to process your request. *I would like to request: Data Subject Info *Name *Email Address *Phone Number *Data Subject Name *Data Subject Email Address *Data Subject Number *Data Subject Street Address *Data Subject City *Please describe your request: 400 Attachment *If you are an Authorized Agent, please upload your completed Authorized Agent designation form. Accepted file types are doc, docx, jpeg, jpg, pdf, or png. *Authorized Agent Form We process all requests accordingly. Please note there may be circumstances or exceptions under the law that may limit our comprehensive fulfillment of your request. For more information, please see our Privacy Policy. Resident Certification I certify that all information I have submitted is true and accurate. Please leave this field empty.