CCPA Consumer Rights Request Form

If you are a California resident, you have certain rights under the California Consumer Privacy Act ("CCPA"). Upon submission of a verifiable consumer request, you have the right to request that a business that collects your personal information provide disclosures about or access to, in a portable and (if technically feasible) readily usable form, the specific pieces and categories of personal information that the business has collected about you in the past twelve (12) months (from the date of the business’s receipt of the request); the categories of sources for that information; the business or commercial purposes for collecting the information; and the categories of third parties with which the information was shared. California residents also have the right to submit a request for deletion of their personal information under certain circumstances.

* indicates a required field

Please fill out this field.
Please fill out this field.
Please select an option

Please describe your relationship to the SCI affiliate that collected your personal information (please list all categories that apply): (e.g., pre-need or at-need contract purchaser; pre-need contract beneficiary; next of kin/family member; website visitor; other; authorized agent of any of the above):

If you are an authorized agent of a California resident and are making this request on his or her behalf, you will be required to provide proof of the California resident’s notarized written authorization (for example a notarized statutory power of attorney) showing that you have been granted the authority to submit a consumer rights request on behalf of the California resident. You will be contacted at either the email address or mailing address you provide below, in order to request a copy of this document for verification purposes. To the extent that the notarized written authorization provided to us is insufficient, we will contact you for further verification at the contact information you provide below. We may additionally contact the California resident in order to verify his or her identity, and to confirm your authority to make a consumer rights request on his or her behalf, prior to responding directly to you.

 

Additional information needed to verify your identity for request processing


* indicates a required field

Please enter a valid date in this format mm/dd/yyyy
Please enter a valid postal code
Please enter a valid date in this format mm/dd/yyyy
Please enter a valid 10 digit phone number
Please enter a valid email

Please indicate how you would like to receive the information requested above by checking one of the following boxes.

Please select one of these options.


Please check this box if you want to proceed.

 

For more information on your rights under the CCPA, please see our privacy policy