CCPA Request Form

If you are a resident of California, and would like to submit a request to Wisner Baum under the California Consumer Privacy Act (CCPA), please fill out the request form below.

Privacy Practices: For information about our data practices, the general categories of information we collect, and how we handle personal information of California residents, please visit our privacy policy. If you have questions about this webform, or if you do not wish to use this webform to submit your request, please contact us at 855-948-5098.

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.

This isn't a valid email address.
Request Type
Please make a selection.
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.