Access & Deletion Rights Request Form Section 1. Your InformationPlease provide the information below so we can verify your identity and California residency. (Fields marked with an asterisk are mandatory.)Name* First Last Email* Address* Street Address Address Line 2 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 Phone Section 2. Your Rights RequestsPlease identify which privacy right(s) you wish to exercise.* Categories of personal information we collected about you. Categories of sources from which your personal information was collected. Business or commercial purposes for collecting your personal information. Categories of third parties with whom we shared your personal information. Specific pieces of personal information we collected about you. *Note: if checked, we will require you to sign a declaration form prior to us providing you with the requested information. I do not wish to exercise this privacy right at this time. Deletion Request:*You have the right to request that we delete the Personal Information that we collected from you, subject to certain exceptions as permitted by law.Click if you would like us to delete the personal information we have collected about you.I do not wish to exercise the privacy right at this timeAre you requesting information on behalf of another person?*YesNoPlease select how you would like to receive our response:*EmailPostal Mail NOTE: Proper authentication is critical to ensuring the protection of Personal Information. Depending on the response to your request, you may be required to provide proof of identity before it can be fulfilled. We will respond to your request consistent with applicable laws. Exclusive Programs Construction Property Hospitality Trucking Entertainment ProgramsBlog Online QuoteCareersContact UsGet AppointedPRIVACY NOTICE (Non-EU)Access and Deletion Rights Request FormTerms Of Use
