• Privacy Data Request Form 

  •  

    I am currently a California resident. 
     
    I am currently a resident of Canada.
     
    Full Name:
    Contact Phone Number
    Email Address
    I am a current or former:
     
    With what location would records about you be associated? 
    (City and State or Province)
       
    During what time frame (approximately) do you believe
    Express Employment Professionals may have collected or
    held your personal data?
       
    Specify the request type(s) - check all that apply:
     
     
    Please be aware there might be circumstances where we will not honor your request, as permitted under the law. For example, if we are not able to verify your identity, we may not honor your access or deletion request. In addition, we may not delete your personal information if an exception under the law applies.

    For California residents:  If you want an authorized agent to submit a request on your behalf, the authorized agent must provide proof of their registration with the California Secretary of State, as well as proof that you gave the authorized agent written permission to submit the request(s) on your behalf. We may also require you to verify your identity with us.
     
    Please press the submit button only once!