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California Access Rights
Valid California Address *
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Subject of Request *
Name *
Identifying information of subject of request: Information used to find the individual for the request and to verify the request.
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Email *
Identifying information of subject of request: Information used to find the individual for the request and to verify the request.
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Phone Number *
Identifying information of subject of request: Information used to find the individual for the request and to verify the request.
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Type of Request
I certify under penalty of perjury that I am a California resident, that all information I have submitted is true and accurate, and that I am the individual, or authorized agent of the individual, whose information is the subject of this request. *
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