CCPA Request Form

If you are a resident of California, and would like to submit a request to Bremer Whyte Brown & O'Meara
under the California Consumer Privacy Act (CCPA), please fill out the request form below.

First Name
Please enter your first name.
Last Name
Please enter your last name.
Phone
Please enter your phone number.

This isn't a valid phone number.
Email
Please enter your email address.

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Request Type
Please make a selection.
Report Types
- Categories of Personal Information Only with Source, Business Purpose, and 3rd Parties
- Specific Pieces of Personal Information with Categories of Source, Business Purpose, and 3rd Parties
By submitting this request I declare under penalty of perjury that I am a resident of California and the consumer whose personal information is the subject of the request.