Verified Consumer Request Form
To process Your Verified Consumer Request, we need some basic information from You. We will only use personal information provided to verify Your identity or authority to make the request, to locate the information within our systems and respond to Your request. We cannot respond to Your request if we cannot verify Your identity or authority to make the request and confirm that the personal information relates to You.
For more information, please go to Privacy Notice and Disclosure for California Residents.
If this request is on the behalf of the Consumer, upload either a copy of a power of attorney provided by the Consumer pursuant to Probate Code sections 4121 to 4130 or proof of signed permission along with a copy of the Authorized Agent’s ID. If a power of attorney is not provided, the Consumer will be required to confirm with us directly that they provided permission to submit the request.
The following CCPA requests require you to submit a signed declaration under penalty of perjury that you are the consumer whose personal information is the subject of this request.
Please complete the below declaration as required so that we may fulfill your request made pursuant to CCPA.
I acknowledge that I am a California resident and the person making the request noted above, under the California Consumer Privacy Act. I acknowledge that I am making this request in good faith on behalf of myself.
I certify and declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Complete this form online or click here to download the form to submit via mail or email.
If You choose not to upload this declaration directly You can send it to either:
Read our Privacy Notice and Disclosure for California Residents