Privacy Rights: Verified Consumer Request

Consumer

Are you the Consumer who is the subject of this Request?

Please pick the appropriate box and read the instructions following it.*

Yes, I am the Consumer that is the subject of this Request.
NO, I am the Authorized Agent acting on behalf of the Consumer that is the subject of this Request. I will provide the Consumer’s Power of Attorney executed pursuant to California Probate Code sections 4000 to 4465 and proof of my own identity (see below).

Details of Authorized Agent

Please upload subject’s Power of Attorney executed pursuant to California Probate Code sections 4000 to 4465. (JPG, PDF) (2MB Max)*

Accepted file types: jpg, pdf, Max. file size: 2 MB.

Auth Agent's First Name*

Auth Agent's Last Name*

Nature of Request

Please select all desired options:*

Specific pieces of Consumer’s personal information that INSP LLC has.
Categories of Consumer personal information INSP LLC has collected about Consumer.
Categories of sources from which Consumer’s personal information is collected.
Categories of Consumer’s personal information that INSP LLC sold or disclosed for a business purpose.
Categories of third parties to whom Consumer’s personal information was sold or disclosed for a business purpose.
The business or commercial purpose for collecting or selling Consumer’s personal information.
Deletion of Consumer’s personal information.

Declaration

Please note that any attempt to gain access to personal information through misrepresentation may result in prosecution.

I certify that the information given in this Request to INSP LLC is true and accurate. I understand that INSP LLC is required to verify my / the Consumer’s Identity and I certify that the information given in this request to INSP LLC is true and accurate. I certify under penalty of perjury that I am the consumer whose personal information is the subject of this request.

Please use your finger (if touch enabled), mouse or pen to provide your signature in the box below.

Signature Type*

E-Signature
Manual Signature

By selecting the E-Signature button, you are signing this Declaration electronically. You agree your electronic signature is the legal equivalent of your manual signature and no other verification is necessary to validate your electronic signature. If you do not consent, check the Manual Signature button below and upload your signed Declaration.

Signature*

Download Manual Signature PDF Form

Upload Manual Signature*

Accepted file types: pdf, jpg, Max. file size: 2 MB.