Your Company Name Here
Privacy Request Manager
Option 1: Submit a Web Form Request
First Name
Last Name
Email
I am a:
Customer
Employee
Job Applicant
Vendor
Ad/Email Recipient
Other
I am a/an:
State of Residence:
Other
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State of Residence:
My privacy request(s):
Tell me more about the data you collect, share and/or sell
Do not sell or share my personal information (if applicable)
Delete my personal information
Send me a copy of my personal information
Correct my personal information
Opt me out of automated decision making (if applicable)
Limit the use of my sensitive personal information (if applicable)
Checkbox for Other
Other:
By clicking "Affirm & Submit" you affirm the information above is accurate and acknowledge that we may need to verify your identity and your state of residence to determine if we can fulfill your request.
Error: Please check at least one request box.
You have successfully submitted your request.
Affirm & Submit
Option 2: Call Toll Free
Or call us toll free at
1-866-I-OPT-OUT
(1-866-467-8688) and enter Service Code 924#
Privacy request management by
CCPATollFree.com
