CCPA-Request | Denco Family

Please declare your residency.(Required)

Are you a California resident?(Required)

Select Requestor Type.

Complete this information about the authorized agent submitting this request.

Agent type

Name

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Phone Number

Authorization Document

Please upload the authorization document below.

Accepted file types: pdf, Max. file size: 512 MB.

Select the type of request you'd like to make.

Select the type of request you'd like to make.(Required)

Categories-Select this option if you'd like to know the categories of personal information we have collected about you, the sources from which we collected it, the third parties to whom it was disclosed, and the business purposes for such disclosure.

Right to Correct-Select this option if you'd like to correct any inaccurate personal information we have collected about you.

Deletion-Select this option if you'd like to have us and our service providers delete the personal information we've collected about you.

Do not Sell or Share my Info-Select this option if you'd like to prevent the sharing of your information to third parties for value.

Your Comments/Questions(Required)

Please include your place of work you are making a request for.

How Can We Reach You?

Your Name(Required)

First Last

Your Email Address(Required)

Please ensure you enter the same email address that was provided to us, as we will use your on-file email address for identity verification purposes.

Email Address Confirm Email Address

Your Phone

Your mobile phone number is used only for automated text-based identity verification. If you do not provide a mobile phone number, additional verification steps are required. Please ensure you enter the same phone number that was provided to us, as we will use your on-file phone number for identity verification purposes.

Best Time to Call You

Preferred Method of Contact(Required)

Electronic Signature(Required)

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Phone

This field is for validation purposes and should be left unchanged.