Dealertrack: Data Privacy Form Consumer Data Compliance Form Please completely fill out the form below. CCPA Requestor **On Behalf of ConsumerDealer/Lender/Partner employeeCCPA Request Type **Right to KnowRight to DeleteRight to Correct InaccuraciesConsumer First Name **Middle NameConsumer Last Name **SuffixConsumer Phone **Consumer Email ** Consumer Address **Consumer Address Line 2City **State **CaliforniaColoradoConnecticutZip **Consumer Last 4 SSN #'s **PixallIDVIN Nr.*Dealer/Lender/Partner InformationClient IDClient Name*Client Address*Client Address 2Client City*Client State*CaliforniaClient Zip*Client Phone*Client Email* What data do you want to correct?Right to Correct Inaccuracies: First Name Middle Name Last Name Suffix Phone Email Street Address City State Zip Other Please fill out your old information below. Your new information should be in the form fields above.Old First Name ValueOld Middle Name ValueOld Last Name ValueOld Suffix ValueOld Phone ValueOld Email ValueOld Address ValueOld City ValueOld State ValueOld Zip ValueOld Other ValuePhoneThis field is for validation purposes and should be left unchanged. Δ Was this page helpful Yes No Thank you for your feedback
