CCPA Consumer Rights Request Form

Use this form to request access, correction and deletion only for California residents

If you are a California resident, you have certain rights under the California Consumer Privacy Act (“CCPA”). Upon submission of a verifiable consumer request, you have the right to request disclosure, correct or delete personal information we have collected from you within the preceding 12 months. For more information regarding the CCPA, please see our Privacy Policy.

CCPA Consumer Rights Request Form

Use this form to request access, correction and deletion only for California residents

Your Contact Info*

If you have a HashMemo account, please enter your registered email address.

Who is Requesting?*

The Authorized Agent Issue

Select all that apply*

We will respond to the above email address.

Declaration Statement*

Please confirm that you wish to submit this form: