California Consumer Privacy Act (CCPA) Request Submission Form

Your Information:

First Name *

Middle Initial

Last Name *

Suffix (optional)

Date of Birth *

Phone Number *

Email Address *

Street Address (No PO Box) *

Apartment or Unit Number

City *

State *

ZIP Code *

How do you want to receive our response? * We will use this preferred method of communication to send our response and other communications concerning your request to the email or postal mail address you entered above. Email Postal Mail

What is your relationship with Orange County's Credit Union? * Current or Joint Member Former Member or previously applied for an account or loan Never a Member and never applied for an account or loan

Do you have any other relationship with Orange County's Credit Union? Employment: Either a current employee, previously applied for employment, but never hired, or a contractor of Orange County's Credit Union Other

If you have selected "Employment" or "Other," please explain the nature of your relationship with Orange County's Credit Union. *

Requests:

Please check the request you are making. * Request to know personal information we have collected about you. Request to delete personal information we have collected about you. Request for correction of inaccurate personal information about you.

For requests to know personal information we have collected about you, please select the request you would like to make. * The categories of personal information we collect about you. The categories of sources from which the personal information is collected about you. The business or commercial purpose for collecting, selling, or sharing personal information about you. The categories of third parties to whom your personal information is disclosed. The specific pieces of personal information collected about you. The categories of personal information we have sold or shared about you and the categories of third-parties to whom the personal information was sold or shared. The categories of personal information we have disclosed about you for a business purpose and the categories of persons to whom it was disclosed for a business purpose.

Briefly describe what personal information needs to be corrected about you. *

Please submit any documents that you would like us to consider in support of your request for us to correct inaccurate personal information about you. Please submit the additional documentation to this email address: CCPAConsumerReply@orangecountyscu.org or by postal mail to Orange County's Credit Union PO Box 11777, Santa Ana, CA 92711-1777 Attention: CCPA request, or by hand delivery at one of our local branches. We may require additional information from you concerning the personal information you believe is inaccurate about you.

The safety of your personal information is very important to us. That’s why we keep it protected with security features. Information you provide in this CCPA request is being collected solely for the purpose of submitting the request. To learn more about how we safeguard personal information, please view our Online Privacy Policy.