Information Request Submission Form

Name of company or website your request is about*
First name*
Last name*
Email address*
Device ID*
Type of request
- Access request - Tell me about data collection practices
- Access request - I want a copy of my data
- Deletion request
Sell or not re-sell my data
- Do not sell my data
- Do not re-sell my data
Street address*
City*
California Residency
- I am a California resident
- I am NOT a California resident - please consider my request
Submitting for myself or someone else
- I am submitting this request for myself - the details in this form are my own
- I designate CCPAData.com as my CCPA agent to submit the request
Upload copy of ID*
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