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

Middle

Last

Address *

Address Line 1

City

State

Zip Code

Birth Month *

Birth Year *

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

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

Click or drag a file to this area to upload.

Or Photo ID

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

Click or drag a file to this area to upload.

Name

NOTE: By submitting, I accept the terms and conditions of this opt out.