Welcome to Assurance's Data Request Form!
If you are a California resident submitting an access, deletion, or data sale opt-out request pursuant to the California Consumer Privacy Act (CCPA), you may exercise your rights by completing this Data Request Form. Non-California residents do not have such rights under the CCPA.
The security of your information is of the utmost importance to Assurance. We collect the information below solely to authenticate your identity and retrieve your information for purposes of processing your data request.
While Assurance will do all it can to honor your request, we may not be able to in certain circumstances. Please see our California Consumer Privacy Act Disclosure for further information.