CCPA Consumer Request Form

Please use this form to submit a request to exercise your rights under the CCPA.

When you submit this form, the owner will be able to see your name and email address

Know the categories of personal information collected and shared about me

Obtain a copy of the personal information you have on me

Delete the personal information you have on me

Opt-out of the sale of personal information you have on me

I am a resident of the state of California.

Under penalty of perjury, I declare the above information is true, correct and that I am the person, the parent or guardian of the person, or the authorized agent of the person whose name appears above.

I understand that I will be required to validate my request by email and I may be contacted to complete this request.

I understand and agree that this request will be processed in accordance with applicable law(s), and therefore I may not recieve a response.