Verifiable Consumer Request Form

  • Current CA Resident Status
  • CCPA Notice
  • Requester Info
  • Request Entities
  • Type of Request
  • Preferred Response
  • Submit Request
  • Complete

The following verifiable consumer request form is available only to California residents, or to someone legally authorized to act on a California resident's behalf. 

Are you a California resident or are you legally authorized to act on behalf of a California resident?

Only a California resident, or someone legally authorized to act on a California resident's behalf, may make a verifiable consumer request related to his or her personal information.