Data Subject Access Request Form

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Data Subject Access Request Form

We value your privacy and your right to stay informed about our data practices and the choices available to you. Please review our Privacy Policy for more information and complete this form to submit a request relating to your data.

Upon submitting this form, you will receive an email requiring your approval for this request. This is an initial security measure required for identity verification and we will reply to your request using the email you provide.

Name *

First

Last

Email *

I am a (an) *

California Resident
EU Resident
Other Resident

Country of Residence *

State of Residence (if United States resident)

Select Request Type *

Opt-Out of Communications
Update Data
Delete My Information
Request to Know [California Residents only]
Request to Opt-Out of Sale [California Residents only]
Information Request [EU Residents only]
Data Deletion [EU Residents only]
Restrict Processing [EU Residents only]
Data Portability [EU Residents only]
Object to Processing [EU Residents only]
Review Automated Decision [EU Residents only]

I am submitting this on behalf of: *

Myself
Another Consumer as Authorized Agent

If you are submitting this on behalf of another consumer as authorized agent, what type of authorized agent are you?

An Entity
A Natural Person

If you are submitting this on behalf of another consumer as authorized agent and are an entity, please provide your entity name, your first and last name, your email address, consumer's first name, consumer's last name, consumer's email address

If you are submitting this on behalf of another consumer as authorized agent, please certify the below: I confirm that I have been authorized by the consumer or household that is the subject of this request to act on their behalf in accordance with the requirements set forth in section 999.326 of the CCPA.