We are committed to responding promptly upon receipt of a verifiable consumer request. To submit a request to delete personal information, please complete and submit the following form. Supporting documentation required to process your request should be sent separately to: email@example.com. You may also contact us with any questions or concerns by calling as at 1-866-244-9625.
Note: The information you supply in this form will only be used for the purposes of verifying your identity and identifying the personal information you are requesting to respond to and fulfill your request. In some circumstances, we are not legally required or permitted to comply with your request to delete for various reasons. If we deny your request in whole or in part, we will explain our reason for doing so.
Please submit the following documentation demonstrating evidence of your identity as the consumer to firstname.lastname@example.org. When submitting documentation, please also specify which of these categories of personal information you are seeking to delete:
If you are the consumer, please submit proof of your identity here
If you are acting on behalf of your minor child, submit documentation of your minor child’s identity and your identity here
If you are acting on behalf of a consumer, submit registration from the Secretary of State authorizing you to act on the consumer’s behalf here
To ensure we are releasing personal information to the right person we may require you to provide us with additional information as proof of your identity.
We reserve the right to refuse your request if we are unable to verify your identity.