Exercising Your Rights to Limit the Use of My Personal Information Under California Laws

We are committed to individual privacy rights and providing the highest level of customer service. If you are a California resident wishing to exercise your rights under California law, including the CCPA, please complete the following form, select the options that apply to your request(s), and click the “Submit” button. We will promptly respond to your request.

You are not required to provide all of the information listed below, but we may not be able to respond to your request or provide you with information if we cannot verify your identity or authority. We may contact you to request more information. We will only use the information you provide to verify your identity or authority to make a request and to respond to your request.

For more on our general privacy practices, please review our privacy policy.

Please complete all required fields *

Requestor's Name

First Last

Requestor's Company (if any)

Requestor's Email

Requestor's Phone Number

Requestor's Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please indicate if you are exercising a right yourself, exercising a right on behalf of your minor child, or if you are acting as an authorized agent on behalf of another

Exercising a right myself

Exercising a right for my minor child

Acting as an authorized agent

If you are exercising a right on behalf of your minor child what is the child's name

First Last

If you are acting as an authorized agent what is the name of California resident on whose behalf you are acting

First Last

Preferred Method of Contact (check all that apply):

Telephone

Mail

Additional Comments

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We may contact you via the information you have provided above and ask for additional information to verify your identity or authority.

We will notify you if your request has been granted or declined, or if an exception applies to your request. If you need assistance or have questions regarding your individual rights request, please contact us at 855-828-7229 or [email protected].