CALIFORNIA CONSUMER PRIVACY ACT REQUEST | HGHW | HGHW

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Agent Resource Center
Renew Your Policy
Order Home Warranty
Request Service
Make Payment

Quick References

Downloadable Instructions for Service Registration and Requests.

Great for Real Estate Professionals to include in their Buyers' packets.

Great for Policyholders to start and monitor their claims efficiently from the start of their policy.

CCPA Consumer Request Online Form

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

Name(Required)

I am or have been in the last 12 months a California resident: “Yes” or “No” [provide check boxes for a yes or no option].(Required)

Please note you must be a California resident to request information based on the California Consumer Privacy Act.

Yes

No

Street Address(Required)

City(Required)

State(Required)

Zip Code(Required)

Email(Required)

Phone(Required)

Please describe in what capacity or context you have interacted with us to date in which you may have provided personal information to us:(Required)

Employee

Job Applicant

Independent Contractor or Consultant

Website User

App User

Individual Customer (non-entity)

Service Provider, Vendor or Supplier

Other

[Check All Boxes that Apply]

Please Specify

Type of Request

Request to Know

Categories of personal information collected from or about me since 1/1/2022.

Categories of sources from which the personal information was collected.

Business purpose for which the personal information was used.

Categories of third parties to which the personal information was disclosed since 1/1/2022.

Access Request

Please provide me with the specific pieces of personal information collected from or about me since 1/1/2022.

Request to Correct

Please correct personal information you have collected from me.

Please enter a short description of the personal information you believe is incorrect, using the box below.

Please enter the correct personal information in box below.

Are you sure you want us to correct the personal information that you have identified?

Yes

No

Request to Limit Use and Disclosure of Sensitive Personal Information

Yes

No

Please limit your use and/or disclosure of my sensitive personal information to only those purposes expressly prescribed by the California Privacy Rights Act.

Request for Deletion

Please delete all personal information that you have collected from me.

Are you sure you want us to permanently delete all your personal information that we have collected from you?

Yes

No

Request to Opt-Out of Sale/Sharing of Personal Information

I do not want my personal information to be sold. Please cease and refrain from selling my personal information.

I do not want my personal information to be shared with a third party for cross-context behavioral advertising purposes. Please cease and refrain from sharing my personal information for such purposes.

Request to Withdraw From Financial Incentive Program

I wish to withdraw from the Company’s financial incentive or loyalty rewards program. Please delete my account. I understand that by withdrawing from the program and having my account deleted, I will not be receiving any of the financial incentives, rewards, benefits or discounts that I may have previously earned or accrued as a member of this program.

This request has been submitted through an agent on my behalf: “Yes” or “No”(Required)

Yes

No

Agent's Name(Required)

This agent has been authorized in writing to submit this request on my behalf:(Required)

Yes

No

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Quick References

Downloadable Instructions for Service Registration and Requests.

Great for Real Estate Professionals to include in their Buyers' packets.

Great for Policyholders to start and monitor their claims efficiently from the start of their policy.

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