Data Access Request Form

You may request access to, deletion of or correction of your personal information by completing the below form. Note that we may ask for additional information or documents to verify your identity (or the nature of your request, if you select “Other” below) prior to processing your request. Please visit our Privacy Policy to learn more about how we collect, handle, use, and protect your personal information.

We reserve the right to refuse requests for various reasons, including: (a) to the extent permitted by law; or (b) if we are unable to verify your identity.

Please submit your request through the form below. We will not respond to data access requests sent to us via email.

Name

First Last

Address

City State ZIP Code

Please specify your request:

Send me my personal information

Delete my personal information

Other

Please describe your request:

Consent(Required)

I Accept(Required)

By checking “I Accept”, you acknowledge and certify that the information you have entered into this form is complete and accurate to the best of your knowledge. You understand that it may be necessary for us to further verify your identity and you agree to comply with any such requests. You agree that any response to your request, if we determine that a response is warranted, will be sent to the email address you provide above.

This field is for validation purposes and should be left unchanged.