Items marked with a diamond ♦ are required fields.

Your Information (You, the person completing the form)

Your Name & Contact Information	♦ What is your relationship to Sherwin-Williams? (Select One) ♦ Other Relationship Definitions: EmployeeAny Sherwin-Williams full time, part time, temporary, retiree, beneficiary or ex-employee. CustomerAny person or entity that has purchased goods or services from Sherwin-Williams. ConsumerAny person or entity that has not yet purchased goods or services; yet has provided information to Sherwin-Williams via consumer promotion, website or other means. Contractor/Sub-Contractor/ConsultantBusiness or person supporting Sherwin-Williams on projects utilizing Sherwin-Williams devices. VendorAny person or entity that has provided goods or services to Sherwin-Williams. Prefix (Select One) ♦ First Name M.I. ♦ Last Name Phone Number ♦ Email (username@domain.com) ♦ Country (Select One) ♦ State (Select One) ♦ Province (Select One) ♦ St./Prv.

Your Name &
Contact Information

♦

What is your relationship to Sherwin-Williams?

(Select One)

♦

Other Relationship

Definitions:

EmployeeAny Sherwin-Williams full time, part time, temporary, retiree, beneficiary or ex-employee.
CustomerAny person or entity that has purchased goods or services from Sherwin-Williams.
ConsumerAny person or entity that has not yet purchased goods or services; yet has provided information to Sherwin-Williams via consumer promotion, website or other means.
Contractor/Sub-Contractor/ConsultantBusiness or person supporting Sherwin-Williams on projects utilizing Sherwin-Williams devices.
VendorAny person or entity that has provided goods or services to Sherwin-Williams.

Prefix

(Select One)

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First Name

M.I.

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Last Name

Phone Number

♦

(username@domain.com)

♦

Country

(Select One)

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State

(Select One)

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Province

(Select One)

♦

St./Prv.

Details

Sherwin-Williams Website	Web Site Name/Title URL

Sherwin-Williams Website	♦ Do you have an online account with Sherwin‐Williams or one of its affiliated brands? (example: mySW or Debeer) Yes No (Select One) ♦ Please provide the web address for the login page of your online account. (example: Sherwin-williams.com/login) ♦ Do you have a Sherwin‐Williams Retail Charge Card? Yes No (Select One) ♦ Are you requesting access to Human Resource (HR) data? Yes No (Select One)

Sherwin-Williams Website

♦

Do you have an online account with Sherwin‐Williams or one of its affiliated brands? (example: mySW or Debeer)

Yes No

(Select One)

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Please provide the web address for the login page of your online account. (example: Sherwin-williams.com/login)

♦

Do you have a Sherwin‐Williams Retail Charge Card?

Yes No

(Select One)

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Are you requesting access to Human Resource (HR) data?

Yes No

(Select One)

Sherwin-Williams Website	How did you subscribe? (example: online, in store) Identify Sherwin-Williams web site name or Brand Identify the mailing list/campaign that you signed up for online or in store Are you receiving direct mail or electronic communications? (Select One)

Change Personal Information	♦ Please provide the personal information elements that you would like changed – we will contact you via the email address provided above. If you would like to be contacted via a different email address than what is provided above, please provide here.

Lost Device	♦ Date of Loss (Click to Select Date) ♦ Date Reported (Click to Select Date) ♦ Country of Loss (Select One) State (Select One) Province (Select One) St./Prv. ♦ Has the device been recovered? Yes No Unknown (Select One) Date Recovered (Click to Select Date) ♦ Type of Data on the lost/stolen device: (Select all that apply; one is required.) Personal Customer Consumer Vendor None / Not Applicable ♦ Sherwin-Williams Group Assignment (Select One)

Lost Device

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Date of Loss

(Click to Select Date)

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Date Reported

(Click to Select Date)

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Country of Loss

(Select One)

State

(Select One)

Province

(Select One)

St./Prv.

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Has the device been recovered?

Yes No Unknown

(Select One)

Date Recovered

(Click to Select Date)

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Type of Data on the lost/stolen device:

(Select all that apply; one is required.)

Personal

Customer

Consumer

Vendor

None / Not Applicable

♦

Sherwin-Williams Group Assignment

(Select One)

Details	♦ Please state your question and/or provide details of your data issue.

Sherwin‐Williams Employees should report technical issues to the Global Help Desk, or by submitting a case through mysupport.sherwin.com.

Follow-Up & Password

Follow-Up	After you submit this report you will be issued a 10-digit “Report Key”. Using this report key and the password you create below, you will be able to access the Follow-Up functionality of this report. Follow-Up will allow you to: Upload/Attach documents to this report Respond to follow-up questions/comments Provide additional information

Password	For your security you must create a password to access the Follow-Up functionality of this report. Creating a password does not create an account. ♦ Password ♦ Re-Enter Password (Passwords must be at least four(4) characters in length.)

Global Privacy Portal

Statement of Purpose

Your Information (You, the person completing the form)

Details

Follow-Up & Password