Residents of California may use this form to submit requests to exercise their legal rights for access or deletion of personal information. While not all fields are required, please be advised that we can only search for your information using the details that you provide; if you decline to provide information, our search may be incomplete. If you are completing this request on behalf of another person, please fill in the consumer’s information and add your information in the space provided. Consumer Name Consumer Email Address Consumer Telephone Number Consumer Mailing Address Consumer Permanent Address Other identifying details we should search (IP address, device ID, etc.) Please describe the nature of consumer's relationship with company Customer Employee Former employee Uncertain Nature of Request Tell me the specific pieces of personal information you have collected about me Delete personal information you have collected from me Are you completing this request on half of another individual? Yes, I am the legal parent/guardian and the Consumer is under 18 Yes, I have legal authority to act on behalf of the Consumer Yes, the Consumer has authorized me to act on their behalf. No Please provide your name, email address and telephone number For the protection of our customers, it may be necessary for us to request additional details, including a government-issued photo ID, to confirm your identity before we act on your request. We will contact you by email if this is necessary. We will not use personal information submitted for the purpose of a Consumer Data Request for any purpose other than to effectuate your request. By submitting this form, I agree that Motley Rice LLC may collect my information and use it pursuant to its privacy policy. Yes No If you do not agree with our website privacy policy please call 1.800.768.4026 to discuss your potential case. Leave this field blank