CCPA Request Form

Complete this form to submit a request under the CCPA. Proper authentication is critical to protect your personal information. You may be required to provide proof of identity before your request is fulfilled. We will respond consistent with applicable laws.

* Required Field

First Name

Last Name

Email Address Re-enter your email address

Street Address

Apartment or Suite Number

City

State

Zip Code

Associated Business Name (if applicable)

I am an Authorized Agent acting on behalf of an individual. BECU will respond via the preferred contact method for verification of authorization when this box is checked.

Preferred method to contact you Email Postal Mail

Response type requested Access personal information that was collected and how it was used Delete personal information Correct inaccurate personal information

By clicking "Submit," I represent that I am the individual (or Authorized Agent acting on the individual's behalf) whose CCPA Personal Information is the subject of the request above.