NOTE: If you are attempting to submit this form as an authorized agent on behalf of a California resident, please contact us at email@example.com prior to completing and submitting the form.
- information about the personal information that we collect about you,
- your right to access the personal information that we collect about you,
- your to access the personal information that we collect about you in manner that is easy for you to understand (data portability),
- deletion of your personal information held by PGM, and
- your right to withdraw your consent for the processing of your personal information.
The information provided in this form is only for informational purposes. PGM will use this information to evaluate and verify your request. Because certain rights are only available to individuals residing in certain jurisdictions, submitting this form does not guarantee PGM will be able to fulfill your request. After receiving and processing your request, a PGM representative will contact you regarding your submission. We may require additional information to confirm your identity or to identify your records in our system.
If you have questions, you may contact firstname.lastname@example.org or call our Toll Free Number at 844-271-9198.