Home > California Consumer Privacy Act Request California Consumer Privacy Act Request Please note you must be a California resident to request information based on the California Consumer Privacy Act.Name(Required) First Middle Last Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code I am or have been in the last 12 months a California resident:(Required) Yes No Email(Required) Phone(Required)Please describe in what capacity or context you have interacted with us to date in which you may have provided personal information to us:(Required) Employee Job Applicant Independent Contractor or Consultant Website User App User Individual Customer (non-entity) Service Provider, Vendor or Supplier Other "Other," please specify(Required)Type of Request(Required) Request to Know Access Request Request to Correct Request to Limit Use and Disclosure of Sensitive Personal Information Request for Deletion Request to Opt-Out of Sale/Sharing of Personal Information Request to Know Details The "Request to Know" request includes the following: Categories of personal information collected from or about me since 1/1/2022. Categories of sources from which the personal information was collected. Business purpose for which the personal information was used. Categories of third parties to which the personal information was disclosed since 1/1/2022. Access Request Details The "Access Request" request provides specific pieces of personal information collected from or about me since 1/1/2022.Please enter a short description of the personal information you believe is incorrect, using the box below.(Required)Please enter the correct personal information in box below.(Required)Are you sure you want us to correct the personal information that you have identified?(Required) Yes No Request to Limit Use and Disclosure of Sensitive Personal Information Details Please limit your use and/or disclosure of my sensitive personal information to only those purposes expressly prescribed by the California Privacy Rights Act.Request to Opt-Out of Sale/Sharing of Personal Information Details I do not want my personal information to be sold. Please cease and refrain from selling my personal information. I do not want my personal information to be shared with a third party for cross-context behavioral advertising purposes. Please cease and refrain from sharing my personal information for such purposes. Authorized Agent Verification Yes No Agent's Name(Required) First Last This agent has been authorized in writing to submit this request on my behalf:(Required) Yes No
