California Consumer Privacy Act (CCPA) Request Form


If you wish to submit (1) a request to know categories of information collected, (2) a request to know specific pieces of information collected or (3) a request for deletion of personal information, please complete the form below. Please note that you must submit a separate request for each type of request that you wish to make.

Upon receiving your request, we will confirm receipt within 10 days and provide information about how we will process the request. Typically, we will respond to your request within 45 days from the day we receive your request. In certain circumstances, we may need additional time to respond to your request. If we do, we will notify you of the need for an extension, but, in any event, we will respond to your request within 90 days from the day we receive your request.

 

I affirm that I am a California resident or an authorized representative of a California resident as defined by Section 17014 of Title 18 of the California Code of Regulations.

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Individual Making the Request:

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Type of Request:

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Consumer Information:

 

Contact Information: