CCPA Access and Deletion Request Form

You are entitled to be informed whether your personal information is collected, used, stored, and/or disclosed by us. You may request to be sent a copy of your personal information and, if desired, you have the right to request that we delete your personal information from our records. To request access to and/or deletion of your personal information from our systems, please complete the form below or call us at 800-925-9999 option 4. While we strive to appropriately answer all requests within 10 days of receiving the request, we have up to forty-five (45) days to respond. Before submitting your request, please review our Privacy Policy and CA Privacy Notice.

Is this request being made by the consumer whose information is being sought or is the request being made by an individual authorized to make a request for the consumer?*
Do you have a client account with us?*
Would you like us to disclose what personal information we have collected, used, and/or disclosed that specifically relates to the consumer?
If we have collected your personal information, would you like us to send you specific pieces of personal information that we have retained about the consumer?
Would you like us to delete consumer's personal information (subject to exemptions)?
Please provide your preferred contact method for correspondence about this request:

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