California Financial Privacy Opt-Out Form

SCI Important Privacy Choices for California Consumers

If you are a California resident who is a customer of Service Corporation International and its subsidiaries and you have sought or received our pre-need or at-need financing services, you may limit how certain of your personal and financial information is shared with other parties.

For more information about our privacy practices and your rights, please visit our U.S. Financial Privacy Notice.

Please read the following information carefully before you make your choices below. Nothing in this form prohibits the sharing of information necessary for us to follow the law, as permitted by law, or to give you the best service on your accounts with us. This includes sending you information about other products or services.

Restrict Information Sharing with Companies We Own or Control (Affiliates):

We may share personal and financial information about you with our affiliated companies. To manage your choices, please select one of the following options.

NO, please do not share my personal and financial information with your affiliated companies.

Restrict Information Sharing with Other Companies with whom We Do Business to Provide Financial Products and Services:

We may share personal and financial information about you with outside companies we contract with to provide financial products and services to you. To opt out, select:

NO, please do not share my personal and financial information with outside companies you contract with to provide financial products and services. (Regardless of whether you exercise this choice, please note that we must provide information we collect in our role as an agent for a third-party insurance company to that third-party insurance company if your arrangements with us are insurance-funded.)

Please select an option.

You may make or update your privacy choice(s) at any time. Your choice(s) marked here will remain unless you state otherwise. You may also exercise your choices by calling a toll free number at 1-866-805-9617, contacting us by email at [email protected] or printing out and mailing the form to us at:

Service Corporation International
Attention: Data Privacy Officer – Privacy Notice
P.O. Box 7806, Houston, Texas 77210

Purchaser Information:

First Name *

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Middle Name (optional)

Last Name *

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12-DIGIT CONTRACT NUMBER * (TYPICALLY LOCATED AT THE TOP RIGHT CORNER OF THE CONTRACT)

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Name of Funeral Home or Cemetery *

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CONTACT PHONE * +1

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CONTACT EMAIL *

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ADDRESS 1

ADDRESS 2

CITY

STATE / PROVINCE

POSTAL CODE

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DATE OF RECENT PURCHASE (IF KNOWN)

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Today's Date

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