Verified Consumer Request – California Consumer Privacy Act (CCPA)

This form may only be completed by a California resident. Completion and submission of this Verified Consumer Request (VCR) form signifies the requester’s intent to formally exercise a right under the CCPA. Requests submitted by a non-California resident will not be processed.

"*" indicates required fields

What product are you submitting a request for?*

Type of request*

Request for Information

Request for Disclosures

Request for Corrections

Request for Deletions

Organization or School District & School*

Full Name*

First Last

Email*

Enter Email Confirm Email

Additional Notes

Acknowledgement*

By submitting this VCR Form you acknowledge that you are voluntarily and lawfully providing personal information and authorize Navigate360, LLC to verify your identity, respond to your request, and contact you as necessary.

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This field is for validation purposes and should be left unchanged.