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California Data Subject Request Form

Website users may use this form to submit requests regarding personal information collected by LLC. We reserve the right to refuse requests, in whole or in part, to the extent permitted by law, including due to an inability to verify your identity or verify your authority to act on behalf of the consumer who is the subject of the request. For certain requests, we may ask for additional information or documents for verification purposes. LLC will use the information you provide through this form to respond to your request, including verifying identity, identifying personal information responsive to your request, and keeping records of your request.

Request Form


Requester's Information

Request Form

If your request applies to online activity information LLC may have collected through cookies or similar technologies, you must make your request form the browser or device that you previously used to access LLC's Website located at This allows us to read any identifier that we or our service providers may have assigned to your browser or device.

Specification of Request (see footnote)

By submitting this form, I hereby certify that the information entered into this form is complete and accurate, and that I am the consumer who is the subject of the request or have been authorized by that consumer to act on they/his/her behalf, as indicated above. I understand that LLC may need to request additional information in order to verify the identity of the consumer and/or authorized agent for this request.

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