California Consumer Access and Deletion Request Form

The information provided on this form will be used only for the purpose of removing information about you from SimioCloud’s products.

Email *

Name*

First Name *

Middle Name

Last Name *

Address*

Street Address *

Address line 2

City *

State *

ZIP Code *

Please select the type of request or requests you wish to submit.

Photograph of the front of your driver's license. *

Click or drag a file to this area to upload.

Or Photo ID. Allowed file extensions: .png, .jpg, .jpeg, .gif

Photograph of the back of your driver's license. *

Click or drag a file to this area to upload.

Or Photo ID. Allowed file extensions: .png, .jpg, .jpeg, .gif

A separate photograph of you (i.e., a “selfie”). *

Click or drag a file to this area to upload.

Or Photo ID. Allowed file extensions: .png, .jpg, .jpeg, .gif

Phone