Data Privacy Request Form

I am submitting this request on behalf of a:
This Request is for:
This form is to be used to request that Bold Penguin d.b.a. Commercial Insurance Center remove data from our information systems on behalf of a consumer.
Under the California Consumer Privacy Act, we are required to ask for a signed declaration under penalty of perjury if you are requesting copies of any information that we may have on you.
Thank you!

You will receive an email momentarily where you can select a meeting time that works for you.
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