Not all persons are eligible for all data requests. This form will be used to determine your eligibility. To protect your privacy, you will be required to verify that you either are a person about whom we collected information or are someone authorized to act on such a person’s behalf. Requests are fulfilled as soon as practical, usually within 45 days.
- *Type of Requestor:[ Please mention in body of message ]
- Consumer
- Insurance
- Partner
- Vendor
- Authorized Person
- Employee
- Applicant
*Type of Personal Information (PI) Request:[ Select All That Apply and mention in body of message ]
PI Report
PI Access
PI Deletion
Do Not Sell/Share My PI
Limit the Use of My Sensitive PI
Opt Out of Profiling/Automated Decision-Making
Do Not Email
Do Not Call/Text
Correct My PI
