Privacy Request Form

Commercial Insurance Center is committed to honoring privacy rights provided under applicable law. If you are a California resident, please use this form to submit your request to exercise any rights provided to you by the California Consumer Privacy Act, as amended by the California Privacy Rights Act.

For more information, please review our Privacy Policy.‍

I am, or I am submitting, this request on behalf of a*:
My Request is for:
I am an authorized agent submitting this request on behalf of another person. (Y/N)
My contact information:
Contact information of the person on whose behalf I am submitting this request:

As an authorized agent, you must submit proof of your identity along with a power of attorney or your written signed authorization to act on behalf of the person by email to privacy@cicenter.com.

My contact information:

* I declare under penalty of perjury that I am the person about whom this request relates or I am an authorized agent acting on behalf of such person and all of the foregoing information is true and correct to the best of my knowledge.

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