Privacy Request Form

Personal Information Requests

You may use this form to request the following:

• Access to your personal information.
• Portability of your personal information.
• Correction to your personal information.
• Deletion of your personal information.
• Appeal of previous response to data privacy request.

Please note that the right to the actions requested under the law is not absolute, and there are exceptions, as explained in our Privacy Policy.  Prior to consideration of the request related to your personal information, we will ask you to verify your identity. 

Please provide the following information (any information provided will only be used for the purpose of responding to your request).

Your first and last name: *

Complete address: *

Country *

State of residence: *

Email: *

Email

Confirm Email

Confirm the name of the company/website your request relates to: *

Please explain your specific request: *

Submit

By submitting this form, you agree, on penalty of perjury, that the information you have provided is accurate to the best of your knowledge, and that you are either the individual about whom this request for personal information relates, or that you are authorized by that individual to make this request on their behalf.