Verifiable California Consumer Data Request

This request is currently available to California residents.  Please complete the form below in its entirety and best of your ability. Failure to do so may slow our response time or prevent disclosure.  

1Provide the subject's information.

First Name is required.
Last Name is required.
E-mail Address is required.
Phone Number is required.
Phone Type is required.
Address is required.
City is required.
State is required.
Date of Birth is required.
Last 4 Digits of Social Security Number is required.
This field is required.

2Provide the subject's affiliation with Federated (select all that apply)

3Provide information about your request

Method of Delivery is required.
  • Categories of Personal Information Federated has collected about the consumer.
  • Categories of sources from which Personal Information is collected.
  • The business or commercial purpose for collecting Personal Information.
  • Categories of third parties to whom Personal Information was disclosed for a business purpose.
  • Categories of Personal Information that Federated disclosed for a business purpose about the consumer.
  • Specific pieces of Personal Information that Federated has collected about the consumer.
Signature is required.
Typed Name is required.
Thank you for contacting us. A confirmation email has been sent to the email address you provided.