CCPA Request

The California Consumer Privacy Act of 2018 (“CCPA”) provides California residents certain rights with respect to their personal information. To exercise such rights, please provide the appropriate information below:
Verification
In order to process your CCPA request, we need to verify you. Please provide the following information, as you believe it would appear in our records:
Name:
First*
Last*
Email or Phone:
Email
Phone
Zip Code*
Please select the applicable box:
I certify that I am a California resident submitting this request for my own information only.*
- I certify that I am a California resident submitting this request for my own information only.
I certify that I am an authorized agent submitting this request on behalf of a California resident. I may be required to submit proof that I have been duly authorized to act on their behalf.*
- I certify that I am an authorized agent submitting this request on behalf of a California resident. I may be required to submit proof that I have been duly authorized to act on their behalf.
Information Request Options
Please select the applicable box(es) and provide any corresponding information below:
Tell me what personal information has been collected about me
- Tell me what personal information has been collected about me
Specify any category of personal information you would like addressed
Provide me with a copy of personal information collected about me
- Provide me with a copy of personal information collected about me
Specify any category of personal information you would like addressed
Delete personal information collected about me
- Delete personal information collected about me
Specify any category of personal information you would like addressed
If not provided above for verification, please provide an email address to contact you about your request
Please provide any additional details that may help us satisfy your request, including how you may have interacted with us:
CAPTCHA

Verification

Information Request Options