authorized agent instructions

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

Please note to protect the safety, security, and privacy of the consumer, we will respond and require you to provide proof of your authority to act on the consumer's behalf and submit this request (such as a valid power of attorney or written and signed permission from the consumer). We reserve the right to verify the authenticity of your request with the consumer you are representing. We may also require that the consumer you represent verify their own 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 reasonable belief that the request is fraudulent.

opt-out of sale of personal information

Colorado Authorized Don Not Target

Opt-Out of Targeted Advertising

Request that we stop processing the consumers' personal information for targeted advertising. The required fields are for verification purposes only. We will only save this information for use in performing the requested actions.

Consumer Information

Information about the consumer 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 Colorado 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 Colorado 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

Colorado Authorized Do Not Sell

Opt-Out of Sale of Personal Information

Request that we stop selling the consumers' personal information. The required fields are for verification purposes only. We will only save this information for use in performing the requested actions.

Colorado Resident Information

Information about the Colorado 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

Line

Authorized Agent Information

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

Agent type

Agent Name

First &Last/Busines

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 Colorado 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

Colorado Authorized Agent

authorized agent instructions

opt-out of sale of personal information

opt-out of targeted advertising