California Privacy Rights Request Form

Under California law, residents have the right to access, delete, or control the use of their personal data collected by businesses. All submissions are subject to identity verification as required by the California Consumer Privacy Act (CCPA) and the California Privacy Rights Act (CPRA).

🔐 Your Contact Information

First Name*

Last Name*

ZIP Code*

Phone Number*

Email Address*

📄 What Would You Like to Do?

Select Your Request Type*

👤 Who Are You Submitting This For?

I am making this request for myself I am an authorized agent submitting on behalf of someone else

Note for Agents: You must email a signed authorization form to contact@guardianshieldauto.com.

📝 Certification and Consent

I confirm that the information provided above is accurate and complete. I understand that Guardian Shield Auto Insurance may contact me to verify my identity before processing this request. If I am acting as an agent, I affirm that I have legal authority to submit this request on behalf of the individual named above.

📫 Prefer Email? You can also send your request to contact@guardianshieldauto.com