CA privacy form

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California Privacy Policy Act Request Form

First Name

Middle Initial (optional)

Last Name

Suffix (optional)

Email address

Consumer Phone Number

Consumer mailing address

Permanent address

Describe nature of consumer's relationship with company

Customer
Former customer or previously applied for an account or loan
Never had a customer account or loan
Job applicant
Current or former employee
Current or former temporary employee/worker
Current or former independent contractor
Owner/Shareholder
Director/Officer

Additional customer relationships with HomeStreet or other identifying details we should search to ensure we find your information

Nature of request

Right to Know
Right to Correct
Right to Delete

Are you completing this request on behalf of another individual

If yes, please provide your name, email address and phone number.

Additional Information

For the protection of our customers, it may be necessary for us to request additional details, including a government-issued photo ID, to confirm your identity before we act on your request. We will contact you by email if this is necessary. We will not use personal information submitted for the purpose of a Consumer Data Request for any purpose other than to effectuate your request.

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California Privacy Policy Act Request Form

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