Delete My Information Request

Please fill out the form below to submit your deletion request. We will acknowledge receipt of your request within 10 days. However, full processing of your request may take up to 45 days from the date of submission. Your request may be subject to verification of your identity prior to completion. You may also submit your request by calling 866.423.1818 and speaking with our Consumer Privacy Coordinator.

Consumer Name *

First

Last

Consumer Address *

Consumer Apt/Suite

Consumer Email *

Consumer City *

Consumer State *

Consumer Zip *

Consumer Mobile Phone

Consumer LandLine

Authorized Agent Name (if any)

If you are an authorized agent submitting a deletion request on behalf of a consumer, you must complete this section and the fields below. A representative will contact you to obtain the signed legal document that authorizes you to act on the consumer's behalf. If you are a consumer making your own request, you may ignore these sections.

Authorized Agent Email Address

Confirm Email

Authorized Agent Telephone Number

Authorized Agent Address

Authorized Agent City

Authorized Agent State / Region

Authorized Agent Country

Jurisdiction of Agency Authority

Please list the applicable law or document that authorizes you to act as agent for the consumer. E.g., CCPA, Florida Statute ch. 709, executed Power of Attorney, etc.)

Comment