Consumer Rights Personal Information Request Form

Please fill out the form to complete your request.

Personal Information

If you have an account with us, please ensure this information matches your account information.

• Name
  OK Name is required

• Date of Birth

  JanFebMarAprMayJunJulAugSepOctNovDec 12345678910111213141516171819202122232425262728293031 202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900
  OK Date of Birth is required

• Social Security Number

  - -
  Optional OK Social Security Number is required
• • Please check the box if you don't want to provide your full social number.
  Optional OK Please check the box if you don't want to provide your full social number. is required

Mailing Address

• Do you currently reside in California?

  • Yes
  • No
  OK Do you currently reside in California? is required
• Full Address
  OK Full Address is required

Currently, we are only able to process a right to access or erasure request for California residents under the California consumer privacy act (CCPA)

Contact information

• Phone
  Optional OK Phone is required
• E-mail
  OK E-mail is required
• Confirm Email
  OK Confirm Email is required
We will respond to requests via mail, using the current mailing address provided above.

Additional Information

• Include items such as maiden name, and prior address to help us locate your account.
  OK Include items such as maiden name, and prior address to help us locate your account. is required

Relationship with Performance Finance

• • Loan Product
  OK Loan Product is required
• • No known Relationship
  OK No known Relationship is required

Request Type

• • Access to Personal Information
  OK Access to Personal Information is required
• • New Checkbox
  OK New Checkbox is required

 

Please Note: Making a request for erasure does not guarantee Performance Finance can delete your information.