Name *

First Name

Last Name

I am submitting my request as a *

Consumer or Business Contact

Authorized Agent

Select request type(s) *

Info Request

Data Deletion

Correction/Rectification

Opt-Out (Do Not Sell or Share My Personal Info)

State of Residence *

California

Colorado

Connecticut

Virginia

Utah

Other

Confirmation* *

By submitting this form, I confirm and declare that I am the consumer or their parent, guardian, or authorized representative processing a consumer rights request received by phone whose personal information is subject to this request.

I CONFIRM