You may exercise your right under this Form twice a year, free of charge. For any requests in excess of two per year, we reserve the right to charge a reasonable fee associated with the actions you are requesting. Please note, the CCPA prohibits us from disclosing your Social Security number, driver’s license number or other government-issued identification number, financial account number, any health insurance or medical identification number, any account password or security questions or answers in response to a request to know.
To submit your request to DEFY, you can either call us at 888-491-5001 or by filling out the form below. If you are submitting this request on behalf of another person, please fill out the information in the form on behalf of the person for whom you are making the request.
Please note, we will take steps to verify your identity before fulfilling any of these requests. Only you, or an agent authorized to act on your behalf, may make a verifiable consumer request related to your personal information. We may require the authorized agent acting on your behalf to provide written permission of your authorization and require that you verify your identity directly with us unless you have provided the agent with power of attorney. You may also make a verifiable consumer request on behalf of your minor child.
In order to verify your consumer request, you must:
- Provide sufficient information that allows us to reasonably verify you are the person about whom we collected personal information or an authorized agent.
- Describe your request with sufficient detail that allows us to properly understand, evaluate, and respond to it.
We cannot respond to your request or provide you with personal information if we cannot verify your identity, or identity of the agent authorized to make the request, and confirm that the personal information relates to you.
PLEASE PROVIDE THE FOLLOWING