CCPA Consumer Request Form

If you are a California resident, the California Consumer Privacy Act (CCPA) permits California consumers ("you") to request the personal information held, the categories of personal information held, to delete or correct personal information. Please provide the following information so that we may process your request. If you would like to submit a request in an alternative format, you may also call: (866) 765-7544 or email AskPrivacy@staffmarkgroup.com.

Your requests may be subject to exemptions or other legal requirements. For a more detailed explanation of your rights please visit our Privacy Policy. If you have any questions, you may also contact us at (866) 765-7544.

Request by Authorized Agent

If you are an agent completing on behalf of a consumer, please click here to download the request form and submit the request to AskPrivacy@Staffmarkgroup.com.

Requests by Consumers

In order to complete your request, please supply all information requested below. We need this information to verify your identity and to make sure we are deleting the appropriate personal information from our records. Once you have submitted the requested information, your submission serves as your authorization to complete your request. Depending on the nature of your request, we may request additional information to verify your identity or document your requested correction. If we are unable to verify your identity with the information provided your request may be denied.

Please check one of the request boxes.
Please enter a valid email.
Please enter a first name.
Please enter a last name.
Please enter a phone number.
Please enter a city.
Please select a state.
Invalid file type. Allowed file types are pdf, jpg and png.

By signing below, I am giving my permission to delete the requested information.

Please enter your signature.