CCPA Information Request

CCPA (California Residents) OCPA (Oregon Residents)

What type of request?^*

Confirm/Obtain Personal Data (Consumer Only)Delete Personal Data (Consumer Only)Correct Personal Data (Consumer Only)Request a List of 3rd Parties To Which We Have Disclosed Personal Data (Consumer Only)Opt Out of Automated Decision Making (Profiling)Opt Out of Sale of Personal Data

Are you acting on behalf of yourself or another person?^*(1)

MyselfOther ( I am acting as an Authorized Agent)

(1)If you are an authorized agent, please fill out the next steps with the consumer’s information.

Suffix

First Name^*

Middle Name

Last Name^*

Date of Birth

MM/DD/YYYY

Last 4 digits of social security number or ITIN

Providing the last 4 digits of your SSN or ITIN is not required to submit a CCPA or OCPA request, but will be necessary to verify your identity for a request to access specific pieces of personal information collected.

Authorized Agent First Name

Authorized Agent Last Name

Street Address 1^*

Street Address 2

City^*

State^*

Zip Code^*

Consumer’s Phone^*

Consumer’s Email^*

Confirm Consumer’s Email^*

Request Details

Authorized Agents

Please use the area below to upload your authorization to act on the consumer’s behalf as part of your request submission

Requests to Correct:

Please provide details about the information you wish to be corrected in the Request Details area above and upload any documentation related to the contested information in the area below as part of your request submission.

SELECT FILE…

File larger than 4mb are not supported.

I declare under penalty of perjury that the foregoing is true and correct and that I am the consumer (or the consumer's Authorized Agent) whose personal information is the subject of this request.

CCPA Information Request

Get Started

What Consumer Rights Would You Like to Exercise?

Get Started

Verify your request type and identity.

What type of request?^*

What type of consumer?^*

Are you acting on behalf of yourself or another person?^*(1)

Personal Info

To protect the senstive consumer information CrossCountry Mortgage retains, we need additional verification information to complete your request.

Contact Info

To protect the senstive consumer information CrossCountry Mortgage retains, we need additional verification information to complete your request.

Additional Information

To protect the senstive consumer information CrossCountry Mortgage retains, we need additional verification information to complete your request.

Get Started

Verify your request type and identity.

What type of request?^*

Are you acting on behalf of yourself or another person?^*(1)

Personal Info

To protect the senstive consumer information CrossCountry Mortgage retains, we need additional verification information to complete your request.

Contact Info

To protect the senstive consumer information CrossCountry Mortgage retains, we need additional verification information to complete your request.

Additional Information

To protect the senstive consumer information CrossCountry Mortgage retains, we need additional verification information to complete your request.

CCPA Information Request

Get Started

What Consumer Rights Would You Like to Exercise?

Get Started

Verify your request type and identity.

What type of request?*

What type of consumer?*

Are you acting on behalf of yourself or another person?*(1)

Personal Info

To protect the senstive consumer information CrossCountry Mortgage retains, we need additional verification information to complete your request.

Contact Info

To protect the senstive consumer information CrossCountry Mortgage retains, we need additional verification information to complete your request.

Additional Information

To protect the senstive consumer information CrossCountry Mortgage retains, we need additional verification information to complete your request.

Get Started

Verify your request type and identity.

What type of request?*

Are you acting on behalf of yourself or another person?*(1)

Personal Info

To protect the senstive consumer information CrossCountry Mortgage retains, we need additional verification information to complete your request.

Contact Info

To protect the senstive consumer information CrossCountry Mortgage retains, we need additional verification information to complete your request.

Additional Information

To protect the senstive consumer information CrossCountry Mortgage retains, we need additional verification information to complete your request.

What type of request?^*

What type of consumer?^*

Are you acting on behalf of yourself or another person?^*(1)

What type of request?^*

Are you acting on behalf of yourself or another person?^*(1)