Your Privacy Choices Form

If you are a resident in the states of California, Colorado, Connecticut, Utah, and Virginia and would like to submit a data subject request, please fill out the request form below.

Privacy Practices: For information about our data practices, the general categories of information we collect, and how we handle personal information of residents in the states of California, Colorado, Connecticut, Utah, and Virginia, please visit our privacy policy.

Agents: If you are an authorized agent submitting a request on behalf of a resident of the states of California, Colorado, Connecticut, Utah, or Virginia, please send your request with authorization attached to CCPA@homewatchcaregivers.com.

Verification: We will only use the information provided in this webform for the purpose of verifying your identity and the personal information that is relevant to your request. We will retain a record of your request for 24 months, and will not use your information for any purpose other than to respond to your request.

Do Not Sell or Share My Personal Information: Please select “Opt Out of Sale” option below as the “Request Type.”

If you have questions about this webform, or if you wish to use a different method to submit your request, please contact us at 1-844-340-9567.

Your Privacy Choices Form

Your State of Residence

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First Name*

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Last Name*

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Zip Code*

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Phone*

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Email*

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Request Type*

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Please confirm your relationship with us

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By submitting this request I declare under penalty of perjury that I am the consumer whose personal information is the subject of the request.