Select the type of requestor that best fits you.
A natural person who is not an Insurance Partner, Employee, Vendor, or Authorized Person
An insurance agent or broker
A person, other than an Insurance Partner, who provides goods or services
A natural person or a person registered with the Secretary of State, authorized by a consumer to act on that consumer’s behalf
An employee or job applicant
A person who applied but was not employed by the company
Only select this option if none of the other categories fit
Some request types limited to past 12 months, and exceptions may prevent fulfilling some requests.
A report of personal information about the consumer in a common file format. (May Include PI Access Information)
A categorical description of information collected/shared about the consumer. (May Include PI Report Information)
Request deletion of personal information (subject to exceptions).
Request to opt out of the sale of personal information about the consumer to third parties
Request to restrict certain usage of sensitive personal information about the consumer
Request to restrict automated-decision making
Request to opt out of further email marketing efforts
Request to opt out of receiving certain telephone calls
Request to correct personal information about the consumer
Enter the last name of the data subject
Enter email for correspondence with the data request.
Enter any additional information in this section that will help us process your request. Please refrain from entering any personal information.
Enter country of residence.