Consumer Data Request Form

Residents of California may use this form to submit requests to exercise their legal rights for access or deletion of personal information. While not all fields are required, please be advised that we can only search for your information using the details that you provide; if you decline to provide information, our search may be incomplete.

If you are completing this request on behalf of another person, please fill in the consumer’s information and add your information in the space provided.

Consumer Name

Consumer Email Address

Consumer Telephone Number

Consumer Mailing Address

Consumer Permanent Address

Other identifying details we should search (IP address, device ID, etc.)

Please describe the nature of consumer's relationship with company

Customer

Employee

Former employee

Uncertain

Nature of Request

Tell me the specific pieces of personal information you have collected about me

Delete personal information you have collected from me

Are you completing this request on half of another individual?

Yes, I am the legal parent/guardian and the Consumer is under 18

Yes, I have legal authority to act on behalf of the Consumer

Yes, the Consumer has authorized me to act on their behalf.

Please provide your name, email address and telephone number

For the protection of our customers, it may be necessary for us to request additional details, including a government-issued photo ID, to confirm your identity before we act on your request. We will contact you by email if this is necessary. We will not use personal information submitted for the purpose of a Consumer Data Request for any purpose other than to effectuate your request.

CAPTCHA

Math question 1 + 14 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.