If you are a California resident and wish to exercise your right to:

Request to delete your data
Request to know what data we store on you

Please complete this form.

Select the Right You Want to Exercise: (Required)

Specific Pieces of My Personal Information You Have

Categories of My Personal Information You Have

Delete My Information

First Name

Enter the first name of the data subject

Last Name

Enter the last name of the data subject

Enter email for correspondence with the data request.

SSN - (Last 4 Digits Only)

Request Details

Enter any additional information in this section that will help us process your request. Please refrain from entering any personal information.

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Acknowledgement

Acknowledgment

By submitting this form I confirm I am a resident of California and that the information I have provided is accurate.

If you are a California resident and wish to exercise your right to:Request to delete your dataRequest to know what data we store on youPlease complete this form.