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 Name Consumer Last Name ** Suffix Consumer Phone **Consumer Email ** Consumer Address ** Consumer Address Line 2 City ** State **CaliforniaColoradoConnecticutZip ** Consumer Last 4 SSN #'s ** PixallID VIN Nr.* Dealer/Lender/Partner InformationClient ID Client Name* Client Address* Client Address 2 Client 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 Value Old Middle Name Value Old Last Name Value Old Suffix Value Old Phone Value Old Email Value Old Address Value Old City Value Old State Value Old Zip Value Old Other Value NameThis field is for validation purposes and should be left unchanged. Δ Was this page helpful Yes No Thank you for your feedback
