Data Subject Access Request Form

Last Revised: 24 May, 2022

We value your privacy and your right to stay informed about our data practices and the choices available to you. Please review our Privacy Policy for more information and complete this form to submit a request relating to your data.

Upon submitting this form, you will receive an email requiring your approval for this request. This is an initial security measure required for identity verification and we will reply to your request using the email you provide.

If you are submitting this on behalf of another consumer as authorized agent, what type of authorized agent are you?

If you are submitting this on behalf of another consumer as authorized agent and are an entity, please provide your entity name, your first and last name, your email address, consumer's first name, consumer's last name, consumer's email address:

If you are submitting this on behalf of another consumer as authorized agent, please certify the below: I confirm that I have been authorized by the consumer or household that is the subject of this request to act on their behalf in accordance with the requirements set forth in section 999.326 of the CCPA.

I certify that the information I provided on and in connection with this form is true and correct.

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