CCPA Information Form | Mutual of Omaha Mortgage

Are you making this request (required)

For yourself
On behalf of another consumer

Please provide the following information to verify your identity:

Are you a natural person or entity registered with the California Secretary of State?

Yes-please attach documentation and continue to the next questions
No-If you are not registered with the California Secretary of State, you are not considered an authorized agent and therefore cannot make a CCPA request on behalf of another consumer.

Full Name

Address

Phone Number

Which of the following consumer rights would you like to excercise:

Request a copy of the information we have collected, used, sold or disclosed about you
Opt-out-scope information we have about you
Delete in-scope information we have about you

How would you like to receive the response to your request(s)?

Mail
Electronic

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