California Consumer Privacy Act (CCPA) Request Form Tell us who you are and what privacy request you are making under the CCPA I am a(n) (required) ConsumerContractorEmployee Select Request Type (required) Do Not Sell My InformationData DeletionInformation Request First Name (required) Last Name (required) Email Address (required) Mobile Number (required) Home Street Address (required) Apt./Unit # City (required) State (required) California Social Security Number (required) Date of Birth (required) Comments or Special Instructions