California Consumer Privacy Act (CCPA) Request Form

Request to know?*

Yes
No

Request to Delete Personal Information?*

Yes
No

Name

First Last

Phone

Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Have you had an LBS Financial Credit Union account within the last 12 months?*

Yes
No

Are you/have you been an LBS Financial Credit Union employee within the last 12 months?*

Yes
No

Have you applied for employment at LBS Financial Credit Union in the last 12 months?*

Yes
No

Please select all the ways you’ve interacted with the Credit Union:

If you indicated "other" above, please tell us how you've interacted with us.

What other details would you like us to know to help us determine if we’ve collected any of your information?

*Verification of Identity - If your information is located and subject to disclosure under the CCPA, we will provide you the information after taking steps to verify your identity as required under the CCPA and to protect you and the Credit Union from fraud and identify theft. Accountholders may be verified through account information or contacted through Online Banking, if applicable. Otherwise, we may request to see your Driver’s License or other government issued identification as well as another document bearing your name and address such as a utility bill, phone bill, vehicle registration or bank statement (only the name and address portion, no account numbers or other personal information). This information will only be used for verification purposes. If you do not provide this information, we will attempt to identify you by asking questions about the information we have found. If we cannot verify to a reasonable degree of certainty that you are the consumer to whom our information relates, the CCPA specifies that we deny the request for information.

California Consumer Privacy Act (CCPA) Request Form

California Consumer Privacy Act (CCPA) Request Form

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