California Consumer Rights
Request Form

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Please complete this form to submit your California Consumer Rights Request.

In certain circumstances, we may require additional information if we are unable to verify your request based on the information provided. The Personal Information submitted in connection with your request will be used for the purpose of processing your request.

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CALIFORNIA CONSUMER RIGHTS REQUEST FORM

First Name (Required)

Last Name (Required)

Email Address (Required)

Zip Code (Required)

Select the Data Type you'd like to request

Are you submitting this request as an agent for another individual?

If you are submitting this request as an agent for another individual, please submit documentation that you are authorized to act for that individual and complete the fields below. We may reach out to you and the individual to complete an additional verification process to ensure that you are authorized by the individual to act on their behalf.

Authorized Agent First Name (Required)

Authorized Agent Last Name (Required)

Authorized Agent Email Address (Required)

Proof if Authorization as Agent

By clicking submit I declare under penalty of perjury under United States law that I am the individual, or the authorized agent of the individual, whose name and identifying information has been provided in this request form, and that all the information provided is true, correct, and complete.

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California Consumer Rights
Request Form

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CALIFORNIA CONSUMER RIGHTS REQUEST FORM

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California Consumer Rights Request Form

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CALIFORNIA CONSUMER RIGHTS REQUEST FORM

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California Consumer Rights
Request Form