CCPA Data Privacy Request – CSAA Insurance Group

California Consumer Privacy Act Data Privacy Request

To submit an Access, Correction, or Do not Sell or Share Sensitive Personal Information request, please complete the following secure form or call us at 888-980-6091. Requests must be made by or on behalf of a California resident or an individual who resided in California in the last 12 months.

Request type

Please select the type of request you would like to make. You can choose more than one.

Please select a request type.

Requester information

Are you making this request for someone else?

Yes No

Requester details

First name The first name can only include letters, hyphens or apostrophes.

Middle name (optional)

Last name The last name can only include letters, hyphens or apostrophes.

Suffix (optional)

Date of birth Please enter a valid date of birth (MM/DD/YYYY).

Contact information

Address line 1 Please check the street address.

Address line 2 (optional)

City This field is required.

State This field is required.

ZIP code Please enter a valid residential ZIP code.

Phone number Please enter a valid phone number. Example: 415-555-1234

Email address Please enter a valid email address.

CSAA Insurance Group relationship

Your relationship with CSAA This field is required.

Bringing peace of mind to members for over 100 years

Your zip code is outside our service area

is not a valid 5-digit US postal code.

CCPA request