Submit a Multi-State Privacy Request

Use this process to exercise your rights. The types of requests you can submit through this process are as follows:

Request to know the categories of information we collect and share about you.
Request to know what specific pieces of information we collect about you.
Request that we delete your information.
Request that we correct your information.
Request the right to appeal.

Please be advised that this process is intended only for submissions about one individual and is not intended for submitting a request about multiple people.

Notice at Collection and U.S. Multi-State Privacy Notice

Aviso de recopilación y aviso de privacidad multiestatal de EE. UU.

All fields required.

Are you completing this form on behalf of yourself, or someone else?

Myself

Someone Else

California Resident Information

Complete this section with your information if you are the requester. If you are completing this form on behalf of someone else, input their information below.

First Name

Last Name

Identification Number

Email Address

Phone Number

Extension

Address

City

ZIP Code

Additional Comments (if needed)

Submitting on someone’s behalf

If you’re submitting this form on behalf of someone else, input your personal information below. If you are completing this form for yourself, skip to bottom to submit form.

First Name

Last Name

Describe your relationship to the individual and authority to act

Type of request

Request to know the categories of information we collect and share about you.

Request to know what specific pieces of information we collect about you.

Request that we delete your information.

Request that we correct your information.

The right to appeal.

Please provide any additional comments here

0 / 5000

I certify under penalty of perjury that I am the individual named in this form, or I am duly authorized representative acting on his/her behalf, and the information provided herein is accurate and complete to the best of my knowledge

SUBMIT

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Submit a Multi-State Privacy Request

Are you completing this form on behalf of yourself, or someone else?

California Resident Information

Submitting on someone’s behalf

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Submit a Multi-State Privacy Request

Are you completing this form on behalf of yourself, or someone else?

California Resident Information

Submitting on someone’s behalf