CPRA Request Form

    SELECT ALL THAT APPLY*:
    REQUEST ACCESS REGARDING CATEGORIES OF PERSONAL INFORMATIONREQUEST DELETION OF PERSONAL INFORMATIONOTHER

    SELECT ONE OF THESE OPTIONS*:
    I AM THE CALIFORNIA RESIDENT TO WHOM THE PERSONAL INFORMATION SUBJECT TO THIS REQUEST BELONGSI AM AN AUTHORIZED AGENT ACTING ON BEHALF OF THE CALIFORNIA RESIDENT TO WHOM THE PERSONAL INFORMATION SUBJECT TO THIS REQUEST BELONGS