If you would like to submit a request pertaining to your data, please complete the form below. The information you provide in this form will only be used for the purposes of verifying and processing your request. If you choose not to provide the information requested in this form, we will be unable to process your request and will take no further action.
By submitting this form, you state under penalty of perjury that:
- You are a California resident;
- You are the consumer, or are an individual who is authorized to act on behalf of the consumer, whose name appears below;
- To the best of your knowledge, the information you provided in this form is true and accurate; and