California Consumer Privacy Act (CCPA) Request

If you are a California resident, please use this form to initiate processing a data privacy request regarding your personal information. Please complete the following information so we can respond to your request. Mandatory fields are marked with an asterisk (*). Find out more about the California Consumer Privacy Act

Your request

What do you want to do?*

Know and Access data

Delete data

Correct data

Check all that apply

What type of information do you need to correct?*

Don't give us any sensitive or personal details in this field. For example, say 'social security number', instead of providing the actual number on this form.

How would you like us to reply?*

Email

Mail

Is this related to an existing or previous CCPA request?*

Yes

No

Please provide further details from previous request.*

Who is the request for?*

Me

Another Person

Do you have legal permission to ask for their data?*

Yes, as the parent or legal guardian of a minor

Yes, power of attorney

Yes, registered with the California Secretary of State

No

We will need proof that you're authorized to make the request

You need legal permission to ask for someone else's data.

Your details

First name*

Last name*

Their details

Their first name*

Their last name*

Other names (optional)

Such as your middle name, maiden name, suffix or nickname

Phone*

We may need to call you to verify your details

Email*

Your current address

Their current address

Address line 1*

Address line 2 (optional)

City*

State

ZIP code*

Other Addresses

Do you want to add another address, such as a previous residence?

Add another address (like a previous residence)

Previous or other address