Consumer Protection | Internet Marketing Experts

CCPA Request Form

If you are a resident of California, and would like to submit a request to Scorpion
under the California Consumer Privacy Act (CCPA), please fill out the request form below.

*Indicates required fields

First Name*
Please enter your first name.
Last Name*
Please enter your last name.
Phone Number*
This isn't a valid phone number.

Please enter your phone number.
Email*
This isn't a valid email address.

Please enter your email address.
Request Type*
Report Types*
- Categories of Personal Information Only with Source, Business Purpose, and 3rd Parties
- Specific Pieces of Personal Information with Categories of Source, Business Purpose, and 3rd Parties

By submitting this request I declare under penalty of perjury that I am a resident of California
and the consumer whose personal information is the subject of the request.