Data Rights Request Form

If you are a resident of a State that provides data privacy rights and would like to make a request such as opting-out of the sale or sharing of your information, please use the form below. To make your request choose which category of data request you are making. Once you provide the requested information and click submit, your request will be processed. If you would like to learn more about which data rights may be available to you or how we may collect or use your data, please review our privacy policy.

Opt-Out of Sale and Use Opt-Out of Use of Sensitive Personal Information Right to Delete Right to Know Right to Correct

Personal Information

This information is used to find your records in our system.

First Name

Last Name

Address

City

State

Zip

Phone

I am an agent authorized to submit this request on behalf of the named consumer. Yes No

First Name

Last Name

Upload proof of authorization

Please check the box below:

By checking this box and clicking the "Submit" button below, I attest that the information provided above is my own, or that of an individual I am authorized to submit the selected request on behalf of, and is accurate. Furthermore, I attest that I, or the individual I am authorized to submit the selected request on behalf of, is a resident of the state selected.