Government Record Opt Out
eMerges business model includes the compilation and publication of information lawfully made available from federal, state, or local government records about U.S. citizens. While this type of information is not deemed "personal information" under comprehensive U.S. state privacy laws (like the CCPA), we still honor requests to opt out of the sale or license of that information to our clients.  If you would like to opt out of those disclosures, please accurately fill out the information required below. Pursuant to GDPR objectives, we automatically suppress any license, permit or registration record with a residence or mail address that is not a U.S. state or territory.

 (published 20240116)
Sign in to Google to save your progress. Learn more
First Name *enter only one person's name* *
Last Name *
Full Street Address *
City *
State or Territory *
Zip *
Clear form
Never submit passwords through Google Forms.
This form was created inside of