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For California residents only. In accordance with the CCPA, I understand that I may be providing the following Categories of Personal Information (as defined in the CCPA) to Leviton by completing this form: Identifiers, Commercial Information, and Internet or other similar network activity, for the purpose of fullfilling my request.

By submitting this form, I certify that the information I have provided is true.

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I have read and understand Leviton's Privacy Policy. *