Deletion, Access, or Correction Request 

AUTHORIZED AGENT

If you are an authorized agent and the individual that is the subject of this request resides in California, please provide your contact information. We will not be able to process your request if we cannot verify your authorization to make this request, or if the individual subject to the request does not reside in California. If you are the individual that is the subject of the request, please skip to CONSUMER DETAILS below.

CONSUMER DETAILS

Please provide the following information. We will use this information to verify and fulfill your request.

Acknowledgement: By clicking “submit” you confirm that:(1) You are a California, Colorado, Connecticut, Utah, or Virginia resident; or(2) you are an authorized agent submitting a request on behalf of a resident ofCalifornia and you have proper authority and permission to make a request ontheir behalf.