Consumer Rights Request Form

If you are a resident of Colorado, Connecticut, Delaware, Indiana, Iowa, Kentucky, Maryland, Minnesota, Nebraska, New Hampshire, New Jersey, Oregon, Rhode Island, Tennessee, Texas, Utah, and Virginia, you have access, deletion, and correction rights under your state’s privacy law.

You also have the right to opt out of sales and targeted advertising via cookies and tracking technologies on our websites. To opt out click the “Do Not Sell or Share My Personal Information” button in the footer of our websites.

* indicates a required field

State

Please select a state.

First Name *

Please fill out this field.

Middle Name (optional)

Last Name *

Please fill out this field.

Select all that apply Request for access (give me my data) Request for deletion (delete my data) Request for correction (correct my inaccurate data) Request for an appeal (tell me why my request was not filled)

Please select an option.

Delaware and Maryland customers only, if you would like to request a list of the categories of third parties with whom we shared your Personal Data (tell me categories of whom my data is shared with), please note your request in the additional information field below.

Connecticut, Oregon and Minnesota customers only, if you would like to request a list of specific third parties with whom we shared Personal Data (tell me whom data is shared with), please note your request in the additional information field below.

Please describe your relationship to the SCI affiliate that collected your personal data (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):

RELATIONSHIP TO THE SCI AFFILIATE (OPTIONAL)

Additional information needed to verify your identity for request processing

* indicates a required field

Today's Date

Please enter a valid date in this format mm/dd/yyyy.

ADDRESS 1 *

Please enter a valid address.

ADDRESS 2

CITY *

Please enter a valid city.

STATE / PROVINCE *

Please enter a valid state.

POSTAL CODE

Please enter a valid postal code.

CONTRACT NUMBER (IF KNOWN)

ADDITIONAL INFORMATION/ DESCRIPTION/AMOUNT OF RECENT PURCHASE (IF KNOWN)

DATE OF RECENT PURCHASE (IF KNOWN)

Please enter a valid date in this format mm/dd/yyyy.

CONTACT PHONE * +1

Please enter a valid 10 digit phone number.

CONTACT EMAIL *

Please enter a valid email.

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

By Mail (at Address above) By Email (at Email above)

Please select one of these options.

Prior Information (optional)

You may also submit prior information

Prior Phone Number(s)

Prior Last Name(s)

Prior Address(es)

ACKNOWLEDGEMENT * If I have submitted a request for deletion, I understand that, while I have the right to request deletion of my personal data, SCI or its affiliate may be able to retain some or all of the personal data for a variety of ‎reasons, such as to comply with a legal obligation.‎ I further understand that SCI or its affiliate will respond to my request as necessary using the information I provided above.

Please check this box if you want to proceed.