There are several types of requests Californians can make. Check the box (es) below to select the type of request(s) you would like to make:
Check all that you are requesting:
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Please click "I accept" for each in order to submit this form. I CONFIRM THAT: *
I accept
Under penalty of perjury, the information I have provided above is true and correct, and that I am the person, or the authorized agent of the person, whose name appears above.
I understand that I will be required to validate my request by email and I may be contacted to complete this request.
I accept
Under penalty of perjury, the information I have provided above is true and correct, and that I am the person, or the authorized agent of the person, whose name appears above.
I understand that I will be required to validate my request by email and I may be contacted to complete this request.