Access Request

If you live in California, Colorado, Connecticut, Delaware, Iowa, Minnesota, Montana, Nebraska, New Hampshire, New Jersey, Oregon, Tennessee, Texas, Utah, or Virginia, you can submit the following form if you would like to request access to the personal information we process about you. We will use the information below to identify you in our system. After you submit the form, you will receive a confirmation email that will contain verification procedures and other next steps.

This form is for use by consumers (in the states listed above), and for job applicants and business-to-business contacts (in California only).

For more details on how we collect and use personal information, please visit our Privacy Policy.

First Name*

Last Name*

Company Name

I am a*

Address 1*

Address 2

City*

State*

Zip*

E-mail Address*

Phone Number*

How would you like this information delivered?

Submitted On Behalf Of*

Please submit proof that you have been authorized by the consumer named above to act on the consumer’s behalf.

Corporate Name

Corporate E-mail

Upload File (PDF)

One file only.
2 MB limit.
Allowed types: pdf.

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