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Data Request Form

For users of whom are of residents of the state of California can submit a data request form.

The protection of your personal data is important to Solidarity Health Network, Inc. and we are committed to ensuring that your privacy rights are respected. Our Privacy Policy can be found here.

If you are a resident of a State like California granting you certain data request rights, you may:

  • Opt out of the sale of your personal information;
  • Request that we disclose certain information to you about our collection and use of your personal information over the last 12 months; and/or
  • Request that we delete any of your personal information that we collected from you and retained, subject to certain exceptions.

To exercise your right(s), please complete the form below. The information we request from you below is strictly for the purpose of enabling us to verify your request and will be processed in accordance with CCPA. We cannot respond to your request or provide you with personal information if we cannot verify your identity and confirm the personal information relates to you.

CCPA Data Request Form

For users of whom are of residents of the state of California can submit a data request form.

I am submitting this information on behalf of:(Required)
Select the Right You Want to Exercise:(Required)
Person's Name(Required)
Person's Email(Required)
Person's Address(Required)
Please tell us what specifically are you requesting and why.