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CCPA Request Form


For Utah, Connecticut, Colorado, Virginia, and California residents - CCPA: Consumer Personal Information Request Form

Instructions: California residents can use this form to submit requests under the California Consumer Privacy Act (CCPA) regarding personal information collected by CarShield. CarShield reserves the right to refuse requests, in part or in whole, to the extent permitted by law, if we are unable to verify your identity, or if we cannot verify your authority to act on behalf of another person. For certain requests, we may ask for additional information or documents to verify the identity of the consumer who is the subject of the request. The information provided through this form will be used to respond to your request, including verifying identity, identifying personal information responsive to your request, and keeping records of your request.

For Utah, Connecticut, Colorado, Virginia, and California residents - CCPA: Consumer Personal Information Request Form

*All fields are required for submission.

Are you a California resident?
Yes
  
No

Are you the consumer?
Yes
  
No

Request for online activity information

If your request applies to online activity information that CarShield may have collected through cookies or similar technologies, you must make your request from the browser or device that you have previously used to access CarShield's websites or apps. This allows us to read any identifier that we have assigned to your browser or device.

Specify the request(s) - check all that apply

Request to obtain any pieces of personal information CarShield collected about the consumer.
Request to obtain specific pieces of personal information CarShield collected about the consumer.
Request to delete personal information CarShield has collected about the consumer.
Request to delete personal information CarShield has collected about the consumer.

By submitting this form, I hereby certify that the information entered into this form is complete, accurate, and up-to-date, and that I am the consumer who is the subject of the request or have been authorized by that consumer to act on his/her behalf, as indicated above. I understand that it may be necessary for CarShield to verify the identity of the consumer and/or authorized agent for this request, and additional information may be requested for this purpose. For more information about how we handle your Personal Data, please review our Privacy Policy.

Your request has been submitted! We will be contacting you with all your online activity that CarShield has recorded. Thank you.

Something went wrong, try refreshing and submitting the form again.

For more information about how we handle your Personal Data, please review our Privacy Policy.

Questions? Visit our Support Center, or get in touch:

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