PrecisionTrak Privacy Inquiry Request Intake Form

Fill in the details to raise a rights request.
Consumer Right Request Date: 9/20/2020 9:16:13 AM

Section I – Consumer Information
Full Name* (required):  
Company* (required)  
Email Address* (required)    
State of Residence
Section II – Request Summary
Type of Request:

For access requests only: under penalty of perjury, by checking the Access to Personal Information box and clicking on the link, I hereby certify in writing that I am the individual to whom this personal information request relates (or I am such individual’s authorized agent), and that my receipt of this personal information does not violate any applicable law or any privacy or publicity rights of any individual. This attestation is provided in accordance with Section 999.325(c) of the regulations promulgated by the Attorney General under the authority of the California Consumer Privacy Act of 2018.

Only complete this section if you are NOT the consumer to whom this request relates:
  By checking this box, I certify that I am an authorized agent of the consumer to whom this request relates, and that I have been duly authorized, in writing, to submit this request on behalf of the consumer, and to receive any information generated by as a result of this request.