CALIFORNIA PRIVACY RIGHTS
ONLINE REQUEST FORM



Please complete the information below. When you have completed the required information, submit the form by clicking “submit” at the bottom.

After receiving this form, we will be in touch with you to verify your identify and follow up on your request.

1. Complete the following information of the person whose information is the subject of this request:

2. Request Type [check all that apply]
I request access to specific pieces of personal information you have about meI request access to categories of personal information you have collected about meOpt-out of all sales of my personal information

Delete all of my information
Delete specific pieces of my information, as described below

3. Additional Detail