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    Verifiable Consumer Request Form

    • CA Resident Status
    • CCPA Notice
    • Requester Info
    • Request Entities
    • Type of Request
    • Preferred Response
    • Submit Request
    • Complete

    The following verifiable consumer request form is available only to California residents, or to someone legally authorized to act on a California resident's behalf. 

    Are you a California resident or are you legally authorized to act on behalf of a California resident?

    Only a California resident, or someone legally authorized to act on a California resident's behalf, may make a verifiable consumer request related to his or her personal information.

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