Do Not Sell My Information

Data Rights Request Form

If you are a resident of a State that provides data privacy rights and would like to make a request such as opting-out of the sale or sharing of your information, please use the form below. To make your request, select your state of residency below and choose which category of data request you are making. Once you provide the requested information and click submit, your request will be processed. If you would like to learn more about which data rights may be available to you or how we may collect or use your data, please review our privacy policy.

Request

Personal Information

This information is used to find your records in our system.

First Name

Last Name

Street Address

City

State

Zip Code

Phone

E-mail

I am an agent authorized to submit this request on behalf of the named consumer.

By checking this box and clicking the "Submit" button below, I attest that the information provided above is my own, or that of an individual I am authorized to submit the selected request on behalf of, and is accurate. Furthermore, I attest that I, or the individual I am authorized to submit the selected request on behalf of, is a resident of the state selected.