State of Residence
Are you the consumer?
Yes, I am making a request related to personal information about me.No, I am acting as an authorized agent for the consumer. I understand that the request cannot be processed without a California Authorized Agent Designation form completed and signed by the consumer.
Consumer Full Name (if different from requestor)
Consumer State of Residence
Specify the requests. (Check all that apply.)
Request to know categories of personal information 4C Insights has collected, used, disclosed, and/or sold about the consumer
Request to obtain specific pieces of personal information 4C Insights collected about the consumer
Request to delete personal information 4C Insights has collected from the consumer.
Request to opt out of the “sale” of personal information about the consumer