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Website form for Consumer Appeals

Below is a consumer request form for you to obtain information concerning the personal information we may have collected about you. Please fill out the form below:

Based upon the nature of your appeal, we may ask you to provide additional information to verify your identity and, if making this appeal on behalf of another person, your authority to submit this appeal. The information that we request will depend on your prior interactions with us, and the nature and sensitivity of the information at issue.

We may also request that you provide more detail or explanation concerning your appeal, which may include, among other things, documentation or materials that support your appeal.

We will respond to your appeal within 60 days of receipt.

Please select one of the following options:

We have received your request to delete your personal information. Please click “Confirm” below to confirm that you want CHHJ to delete your personal information. Once your personal information has been deleted, it cannot be restored. We cannot delete your personal information unless we receive confirmation that you want your personal information deleted.

You have the right to know, in the past 12 months, (please check all of the following to which your request relates):
Are you submitting this request on behalf of another person?
Authorized Agent Form

California Privacy Rights Request Form, please contact CHHJ at: (833) 626-1326
Please click the “Submit” button below to submit your request to CHHJ. By submitting this request, you affirm that you are a California resident.