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Verified Consumer Request – California Consumer Privacy Act (CCPA)

This form may only be completed by a California resident. Completion and submission of this Verified Consumer Request (VCR) form signifies the requester’s intent to formally exercise a right under the CCPA. Requests submitted by a non-California resident will not be processed.

"*" indicates required fields

Type of request*
Full Name*
Email*
Acknowledgement*
This field is for validation purposes and should be left unchanged.