California Consumer Rights Request Form


Welcome! Please complete this form to submit a request and we will respond as soon as possible. Thank you.

Enter the first name of the data subject
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.
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Acknowledgment

By submitting this form, I confirm that I am the person whose name appears on the form, I am a resident of California, and that the information I have provided is accurate.


I understand that Tegria will contact me at the email address provided to verify I am the person making this request.