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Privacy Data Compliance Form

Please completely fill out the form below.

Consumer State of Residence*
Who Are You?*
- I am a dealership submitting for my customer
- I am a vendor submitting for a dealership
- I am a current/former dealership/vendor employee submitting for myself
Who Are You?*
- I am a dealership submitting for my customer
- I am a vendor submitting for a dealership
Nature of Request*
- I want to opt-out of the use of sensitive data
- I want to know what you know about me
- I want my information deleted
Nature of Request*
- I want to opt-out of the use of sensitive data
- I want to know what you know about me
- I want my information deleted
Nature of Request*
- I want to opt-out of the sale of my data
- I want to opt-out of behavioral/targeted advertising
- I want to opt-out of the use of sensitive data
- I want to know what you know about me
- I want my information deleted
- I want to correct my information
Nature of Request*
- I want to know what you know about me
- I want my information deleted
Form Submitter's Email*
Consumer Information
Global Customer ID
Consumer Date of Request*
MM slash DD slash YYYY
Employee Date of Request*
MM slash DD slash YYYY
First Name*
Last Name*
Email Address*
Employee's Dealership Email*
Phone*
Consumer Address

Street Address
Employee Address

Street Address
Address Line 2

Address Line 2
City

City
ZIP / Postal Code

ZIP / Postal Code
Dealer Information
Dealership Name*
Dealer ID*
Dealer's Email*
Dealership Address*
Street Address Address Line 2 City State ZIP Code
Change Information
Edit incorrect data for:
- First Name
- Last Name
- Phone
- Email
- Street Address
- City
- Zip
- Other
Old First Name
New First Name
Old Last Name
New Last Name
Old Phone
New Phone
Old Email
New Email
Old Address
New Address
Old City
New City
Old Zip
New Zip
Old Other
New Other
Phone
This field is for validation purposes and should be left unchanged.
Email
This field is for validation purposes and should be left unchanged.
Comments
This field is for validation purposes and should be left unchanged.
Phone
This field is for validation purposes and should be left unchanged.

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