About Us
What We Do
Who We Help
Contact Us
About Us
What We Do
Who We Help
Contact Us
CCPA Request
CCPA Request Form
Exercise Your Rights
Select Your State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
To help us honor your rights, please specify your primary residency.
Specify Your Relationship with ELI Data Services
User/Customer/Subscriber
Visitor
Authorized Agent – If you have written/signed authorization on either a User, Customer, Subscriber and/or Visitor, please select this option. If the request is regarding a California User and/or Visitor, be sure to provide evidence of California consumer authorization and your registration with the State of California when submitting this form; otherwise, delays will result.
Other
To help us initiate this request, we need some basic information about you.
If other – Please specify your relationship
Primary Email
*
Alternate Email
Alternate Email 2
First Name
*
Middle Name
Last Name
*
Specify Your Request
Access – I want to know what personal information ELI Data Services has collected on me
Update – I want to update (e.g., correct/clarify) my personal information
Delete – I want ELI Data Services to delete some/all personal information about me
Know – I want to know what categories of personal information ELI Data Services collects about me, the categories of third parties to whom the personal information was disclosed, and the associated business purpose(s), within the preceding 12 months
Unsubscribe – I want to opt-out of receiving ELI Data Services marketing communications
Port – I want to transfer my personal information collected by ELI Data Services to another party
Processing – I want to opt-out of any targeted advertising, profiling, or selling of my personal information (If applicable)
Consent – I want to withdraw my consent (If applicable)
Complaint – I want to file a complaint with ELI Data Services
Other
If ELI Data Services has any of your personal data, you may have specific rights depending on what data privacy laws may apply. Please specify your request so that we can honor your rights.
If other – Please describe your request
Please let us know the best way to reach you.
Email - I want ELI Data Services to use the following email address to reach me:
Email - I want ELI Data Services to use the following email address to reach me:
Other – I want ELI Data Services to contact me in another way described below:
Other – I want ELI Data Services to contact me in another way described below:
Authorization
*
By submitting this form, I certify and declare under penalty of perjury under the applicable law(s) that I am the consumer (or authorized agent) whose personal information is the subject of this request.
Printed Full Name
*
Δ