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CCPA Request Form

Are you a resident of California?*
Are you a member with Valley First Credit Union?*
Do you have online banking with us?
If you marked “yes” above, have you shared your username and password with anyone else?
Are you our past or current employee?*

E-MAIL ADDRESS**

PRIMARY PHONE NUMBER**

HOME ADDRESS**

** You authorize us to contact the Consumer and/or the Consumer’s authorized agent (if applicable) for identity verification purposes in accordance with our legal obligations.

Please select all of the following that apply to your request:

Type of Request:

1) Request to Know (please check all that apply to your request):
2) Request to Delete Personal Information?
3) Request to Correct Personal Information

We may contact you to ask for additional information and documentation regarding the contested personal information. We may deny your request if we determine that the contested personal information is more likely than not accurate based on the totality of circumstances.

If for any reason we are unable to correct, would you like us to consider deleting the information instead?

Note About Identity Verification:

We will need to verify your identity.  Within 10 business days of your submission of this form, we will notify you of what we will need to verify your identity.  

If you are an authorized agent for the above referenced consumer, we will request a copy of your government issued identification card, and written authorization from the consumer to submit the request.  Additional details will be provided to you regarding what we need to verify you and your request within 10 business days of your submission of this form.