CCPA Request Form

Goddard Request Form to Personal Information

Requests to access personal information must be made by or on behalf of California residents. Use this form to make a request for yourself or make a request for someone else.

After we receive your request, we will contact you to verify your identity.

Are you making this request for yourself or on behalf of someone else?

Are you an authorized agent requesting access to information?

Please attach the written authorization of your designation by the California resident for whom you are acting as representative.

Authorized Representative
Format: 123-456-7890
Format: 12345

Who are you submitting the request for?

Your contact information

Format: 123-456-7890
Format: 12345

Request Type [check all that apply]

Request Type


Information to be deleted

Please provide details of the personal information you would like us to delete.

Delivery method

Your request has been sent, we will contact you to verify your identity.