Information Request

First Name *
 
Last Name *
 
Email *
 
Phone Number
Birth Date
Date of Consumer Request *
 
By submitting this form, I, the California Consumer identified above, request that VEREIT disclose the following information to me pursuant to the CCPA (check all that apply):





By submitting this form, I, the California Consumer identified above, request that VEREIT delete my personal information, to the extent permitted by law. *
 
Date
Name (First and Last) *
 
Authorized Agent's Name (If Applicable):
 
Enter the code shown above.
 
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