Template

CCPA / Delete Act deletion request

Use for

California residents, or residents of states with equivalent deletion rights (CO, CT, TX, VA, and others). Send to the broker's designated privacy email or web form. Keep a dated copy.

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Subject: Request to Delete Personal Information under the California Consumer Privacy Act

To the Privacy Compliance Team at [BROKER NAME]:

I am a resident of [STATE] and I am exercising my right to deletion under [the California Consumer Privacy Act, Cal. Civ. Code § 1798.105 / your state's equivalent statute].

I request that you delete all personal information you maintain about me, including any inferences derived from that information, and that you direct all service providers and contractors to do the same, as the law requires.

Information to locate my records:

- Full name: [NAME, plus prior names or common misspellings]
- Date of birth: [DOB]
- Current address: [ADDRESS]
- Prior addresses (last 10 years): [ADDRESSES]
- Phone numbers: [NUMBERS]
- Email addresses: [EMAILS]

I am providing this information solely to verify my identity and locate my records. Retaining it for any other purpose would itself violate the statute.

Please confirm receipt of this request, and provide confirmation of deletion within the 45-day statutory window. If you claim an exemption for any category of my data, identify the specific legal basis in writing.

If I do not receive confirmation, I will file a complaint with [the California Privacy Protection Agency / my state's Attorney General].

[NAME]
[DATE]

Any bracketed field you don't fill stays as a placeholder to replace by hand. Keep a dated copy. This is information, and none of it is legal advice.

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