CCPA Consumer Request Form

The California Consumer Privacy Act of 2018 (“CCPA”) provides California residents with specific rights regarding their personal information. As a California resident, you may exercise these rights by completing the below form. Note that we may ask for additional information or documents to verify your identity prior to processing your request. Please visit our Privacy Policy and CCPA Notice to learn more about how we collect, handle, use, and protect your personal information.

We reserve the right to refuse requests for various reasons, including: (a) to the extent permitted by law; (b) if we are unable to verify your identity; or (c) if we cannot verify your authority to act on behalf of another person.

Please submit your request through the form below.

California Authorized Agent Designation Form

The CCPA allows you to designate an Authorized Agent to act on your behalf, including to submit requests. Please fill out the below form:
Consumer Information
Authorized Agent Information
Deliver Information Requested by Agent:
Allow My Authorized Agent to Make (select all that apply):
Consumer Authorization
By signing below, you give your full authorization for the above-mentioned individual to be your Authorized Agent, as permitted under the CCPA.
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.