California Consumer Privacy Act Request Form
Pursuant to the California Consumer Privacy Act, you have the right to request information regarding personal information about you that we collect, sell, or disclose for a business purpose (a "right to know request"); to request deletion of your personal information that we collected from you (a "deletion request"); and to opt-out of the sale of your personal information (an "opt-out request").
Please provide the information in the fields below and select submit. You can also call us at 1-888-900-6545 or email us at firstname.lastname@example.org to complete a request.
Check all that apply:
Select the option that applies:
To use an authorized agent, you must provide the agent with written authorization. Therefore, after receiving a request from an agent, we will contact the agent to receive a copy of the written authorization from the individual on whose behalf the request is being made. We may deny a request from an agent that does not submit proof that the agent has been authorized by you to act on your behalf. Furthermore, for right to know and deletion requests, we will require you to verify your own identity with us. These requirements to use an authorized agent for right to know and deletion requests do not apply when you have provided the agent with power of attorney pursuant to Cal. Prob. Code sections 4000 to 4465.
Your request has been submitted. We will contact you, using the information you submitted, to verify your identity and confirm your request. Then, we will assess your request and you will receive a response within 45 days of the date of your request.
In the meantime, you can also call us at 1-888-900-6545 or email us at email@example.com with any questions or concerns.