CCPA: Consumer Request Form

    Date of Birth *

    To exercise your CCPA rights as a California Consumer, please select one or more of the following requests:

    Right to Access

    Right to Data Portability

    Right to Deletion

    Right to Sharing/Sale Disclosures

    Right to Opt-Out

    Right to Opt-In

    By checking this box, I am legally declaring that I am a California Consumer*

    By checking this box, I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that I have the authority to execute this request*

    NOTE: These CCPA rights are currently only available for California Consumers and Dealerships