authorized agent instructions

Please complete this form to submit your request on behalf of the California resident you are representing.

Please note, to protect the safety, security, and privacy of the California resident you are representing, we will respond and require you to provide proof that the California resident gave you signed permission to submit this request (such as a valid power of attorney or a written and signed permission from the California resident). We reserve the right to verify the authenticity of your request with the California resident you are representing. We may also require that the California resident you represent verify their identity directly with us before we respond to this request.

Providing more details below increases the likelihood that we can fulfill your request. Please ensure the accuracy of the email address you provide. We will use that email address to communicate with you about your request.

We reserve the right to deny requests in certain circumstances, such as where we have a reasonable belief that the request is fraudulent.

Correct personal Information

California Authorized Correction

Correct Personal Information

Request that we correct the inaccurate personal information we maintain about the California resident. The required fields are for verification purposes only. We will only save this information for use in performing the requested actions.

California Resisdent Information

Information about the California resident for whom this request is being submitted.

Name

First Name

Last Name

Alias/Former Last Name/Nickname

Email

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Information That Needs Corrected

Please tell us what information needs to be more accurate. (e.g., the first name should be spelled "Kristy" not "Christie") We may contact you to acquire supporting documentation.

Authorized Agent Information

Information about the authorized agent submitting this request on the California resident's behalf.

Authorized Agent Type

Agent Name

First & Last/Business

Agent Email

Agent Phone

(###)

###

####

Agent Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Authorized Agent Documentation

We may contact you to gain documentation to validate your authority to submit this request (such as valid power of attorney or written and signed permission from the California resident who is the subject of the request).

Acknowledgment

I declare under penalty of perjury that all information provided as part of this request is true and correct.

Option 1

Delete Personal information

California Authorized Delete

Delete Personal Information

Request that we delete the personal information we maintain about the California resident. The required fields are for verification purposes only. We will only save this information for use in performing the requested actions.

California Resident Information

Information about the California resident for whom this request is being submitted.

Name

First Name

Last Name

Alias/Former Last Name/Nickname

Email

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Authorized Agent Information

Information about the authorized agent submitting this request on the California resident's behalf.

Authorized Agent Type

Agent Name

First & Last/Business

Agent Email

Agent Phone

(###)

###

####

Agent Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Authorized Agent Documentation

We may contact you to gain documentation to validate your authority to submit this request (such as valid power of attorney or written and signed permission from the California resident who is the subject of the request).

Acknowledgment

I declare under penalty of perjury that all information provided as part of this request is true and correct.

I Agree

know only categories of information

California Authorized Know Categories

Know Only Categories of Personal Information

Request to know the categories of personal information we have processed about the California resident. The required fields are for verification purposes only. We will only save this information for use in performing the requested actions.

California Resident Information

Information about the California resident for whom this request is being submitted.

Name

First Name

Last Name

Alias/Former Last Name/Nickname

Email

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Authorized Agent Information

Information about the authorized agent submitting this request on the California resident's behalf.

Agent Type

Agent Name

First & Last/Business

Agent Email

Agent Phone

(###)

###

####

Agent Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Authorized Agent Documentation

We may contact you to gain documentation to validate your authority to submit this request (such as valid power of attorney or written and signed permission from the California resident who is the subject of the request).

Acknowledgment

I declare under penalty of perjury that all information provided as part of this request is true and correct.

I Agree

Know personal information

California Authorized Know Information

Know Personal Information

Request a copy of the specific pieces of personal information we have collected about the California resident. The required fields are for verification purposes only. We will only save this information for use in performing the requested actions.

California Resident Information

Information about the California resident for whom this request is being submitted.

Name

First Name

Last Name

Alias/Former Last Name/Nickname

Email

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Authorized Agent Information

Information about the authorized agent submitting this request on the California resident's behalf.

Agent Type

Agent Name

First & Last/Business

Agent Email

Agent Phone

(###)

###

####

Agent Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Authorized Agent Documentation

We may contact you to gain documentation to validate your authority to submit this request (such as valid power of attorney or written and signed permission from the California resident who is the subject of the request).

Acknowledgment

I declare under penalty of perjury that all information provided as part of this request is true and correct.

I Agree

Limit the use of Sensitive information

California Authorized Opt-Out

Opt-Out of Sale/Sharing of Personal Information

Request that we stop selling and/or sharing (as defined by the California Consumer Privacy Act) the personal information of the California resident. The required fields are for verification purposes only. We will only save this information for use in performing the requested actions.

California Resident Information

Information about the California resident for whom this request is being submitted.

Name

First Name

Last Name

Alias/Former Last Name/Nickname

Email

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Authorized Agent Information

Information about the authorized agent submitting this request on the California resident's behalf.

Agent Type

Agent Name

First & Last/Business

Agent Email

Agent Phone

(###)

###

####

Agent Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Authorized Agent Documentation

We may contact you to gain documentation to validate your authority to submit this request (such as valid power of attorney or written and signed permission from the California resident who is the subject of the request).

Acknowledgment

I declare under penalty of perjury that all information provided as part of this request is true and correct.

I Agree

opt-out of sale/sharing of personal information

California Authorized Limit Use

Limit the Use of Sensitive Personal Information

Request that we limit the use of sensitive personal information we maintain about the California resident. The required fields are for verification purposes only. We will only save this information for use in performing the requested actions.

California Resident Information

Information about the California resident for whom this request is being submitted.

Name

First Name

Last Name

Alias/Former Last Name/Nickname

Email

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Authorized Agent Information

Information about the authorized agent submitting this request on the California resident's behalf.

Agent Type

Agent Name

First & Last/Business

Agent Email

Agent Phone

(###)

###

####

Agent Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Authorized Agent Documentation

We may contact you to gain documentation to validate your authority to submit this request (such as valid power of attorney or written and signed permission from the California resident who is the subject of the request).

Acknowledgment

I declare under penalty of perjury that all information provided as part of this request is true and correct.

I Agree

California Authorized Agent

authorized agent instructions

Correct personal Information

Delete Personal information

know only categories of information

Know personal information

Limit the use of Sensitive information

opt-out of sale/sharing of personal information