I affirm and certify that by submitting this form all the information and answers to questions herein are complete, true and correct to the best of my knowledge and belief; that I am a California resident; and that I am the individual whose data I seek to have you delete or an authorized agent acting on their behalf. I understand that any misrepresentation, falsification, or omission of any facts called for in the form may render it void.
Please use a professional/corporate email if one is available
Please list at least 3 of your professional affiliations to verify your identity (e.g. past employments, board positions, education history, awards, etc.)
(Optional) To help expedite the process, you may include the specific URL (i.e. website page) you are referencing
Are you an Authorized Agent
Does your request involve Gov. Code § 6208.1 or Gov. Code § 6254.21?
Gov. Code, § 6208.1
Gov. Code, § 6254.21
(Optional) This will not be applicable in the majority of cases