California Consumer Privacy Act

Name (First and Last) *

Email Address

Request to Know

There are several types of requests Californians can make. Check the box(es) below to select the type of request(s) you would like to make.

Request to Know Selection:

The categories of personal information we have collected about you;
The categories of sources from which the personal information was collected;
The categories of personal information about you we disclosed for a business purpose or sold;
The categories of third parties to whom the personal information was disclosed for a business purpose or sold;
The business or commercial purpose for collecting or selling the personal information.
Request a copy of the personal information we have about you.
Request to opt out of the sale of personal information we have collected about you.
Request we delete or permanently erase personal information we have about you.

(Please be aware that a deletion is irreversible and cannot be undone.)

Authorized Agent Information

If you are an Authorized Agent submitting this form on behalf of a California consumer, please also provide the following information.

Authorized Agent Name

Authorized Agent Email Address

Do you have signed written permission to submit this request on the California consumer’s behalf?

Authorized Agent Permission Confirmation

Yes
No

Confirmation Step 1 *

I confirm that under penalty of perjury, the information I have provided above is true and correct, and that I am the person, or the authorized agent of the person, whose name appears above.

Confirmation Step 2 *

I understand that I will be required to validate my request by email and I may be contacted to complete this request.

California Consumer Privacy Act

Your Information

Request to Know

Authorized Agent Information

Confirmation

Privacy Policy