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CCPA Consumer Request Concerning Personal Information

Consumers must use this form to submit requests concerning your rights under the California Consumer Privacy Act (“CCPA”). We may ask you for proof of identity and authority before responding to make sure your request is valid. If we ask for proof of identity, send any sensitive data through secure means.

We endeavor to respond to your request as soon as we are able. In general, we will respond within 45 calendar days from the date we receive your request. However, we may need additional time. If that is the case, we will inform you of the need for additional time within the first 45 calendar days following the date we receive your request. Please note that certain conditions may limit our ability to comply with your request. Under certain limited circumstances, we may charge a reasonable fee for responding to your request.

Complete the form below to make your request and return it to: 7200 Eagle Crest Blvd. Evansville, IN 47715 or by clicking “SUBMIT” below. We will notify you if we need additional information to process your request using the mechanism you designate below. However, we also can respond using email or regular mail, where applicable. Note that we will use the information we collect as part of the request verification process only for that process.

If you have any questions, please contact us at 1-866-900-4236.

Consumer Request Form: Step 1

The consumer request form is a two step process. Please start the form by filling out your current state of residence below, then click "Next."
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