CCPA Privacy Request Form

As described in our California Resident Privacy Notice, California residents have the right to submit certain privacy requests regarding their personal information under the California Consumer Privacy Act (CCPA). Please complete the form below if you are a California resident seeking to submit a request to know, delete, correct, opt out of the "sale" or “sharing” (as defined by the CCPA) of your personal information, or limit the use and disclosure of “your sensitive personal information” (as defined by the CCPA).

Please note that for requests to know, delete, or correct your personal information, we are required by law to verify your identity and may not be able to fully respond to your request. We will endeavor to process your request in compliance with the timelines and other requirements specified by law.

Please complete this form as fully as possible to help us verify and process your request. For more information, please review our California Resident Privacy Notice.

* Required
Please provide any information you recall regarding your interactions with us and why you believe we may store your personal information. This will help us locate relevant data and respond to your request. If you are submitting a request to correct inaccurate personal information, please identify the personal information you wish to be corrected, why you believe it to be inaccurate, and what the correct information should be.
If you are submitting a request as an Authorized Agent on behalf of a California resident, please complete the following additional information:
Upload proof that the consumer provided you with signed permission to submit the request or a power of attorney form compliant with California Probate Code Sections 4121-4130.
Max file size 10MB.
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