Verifiable California Consumer Data Request

This request is currently available to California residents. Please complete the form below in its entirety and best of your ability. Failure to do so may slow our response time or prevent disclosure.

ZIP Format: ##### or #####-####
Phone Number Format: (###) ###-####
Date Format: mm/dd/yyyy
  • Categories of Personal Information Federated has collected about the consumer.
  • Categories of sources from which Personal Information is collected.
  • The business or commercial purpose for collecting Personal Information.
  • Categories of third parties to whom Personal Information was disclosed for a business purpose.
  • Categories of Personal Information that Federated disclosed for a business purpose about the consumer.
  • Specific pieces of Personal Information that Federated has about the consumer.

** Exceptions may apply.

By signing this document I hereby declare under penalty of perjury, pursuant to the laws of the United States of America and any applicable state laws, that I am the person making the request and that I have sufficient legal authority to make the request. I understand that falsifying any information could subject me to civil and criminal penalties.

Further, by typing your name or electronically signing this form you agree that your e-signature is legally binding and valid and serves as your original signature.

By clicking on Submit below, you acknowledge that you have read and agree to Granite Re's Terms and Conditions and Granite Re's Privacy Policy.

* Required field.