Do Not Sell My Personal Information

This page allows you to submit certain types of state law privacy rights requests, such as rights to opt-out of sale/sharing, right to access, delete, correct, limit, or transfer, if available and applicable. For all other privacy requests, please contact the specific agency or agent with whom you work. This form aims to comply with consumer privacy laws, including the California Consumer Privacy Act, as amended by the California Privacy Rights Act, and the Virginia Consumer Data Protection Act. You can find out more information about consumer privacy laws in our privacy policy under Your Rights and Choices and Exercising Your Rights.

Please complete the form to allow us to act on your request. Questions with an asterisk (*) are required. We will confirm our receipt of your request at the email address provided. We may use the contact information below to follow up with you, including to discuss or verify any information provided in this form.

Please note that we cannot always respond to your request. If we do respond, we still may deny your request. Reasons for this may include:

  • You do not live in California or Virginia.
  • We cannot verify your identity or your authority to make the request. For the more sensitive requests, please understand we may request more sensitive information to verify your identity.
  • There is an exemption or exception under the applicable law. For example, if we have a legal reason to keep the information you ask us to delete.

We aim to acknowledge your request within ten (10) days of its receipt. We aim to respond to a verifiable consumer request within forty-five (45) days of its receipt. If additional time is required (up to 90 days), we will inform you of the extension period and reason in writing. There is no fee for normal, reasonable requests; however, we reserve the right to charge a reasonable fee for requests that are manifestly unfounded, excessive or repetitive. Please remember, depending on where you live, we may have no obligation to process your request as these rights are currently only available for residents of certain states.

If you would like to turn off third-party tracking cookies or opt-out of personal information processing for targeted or cross-contextual behavioral advertising purposes, you may do so through your web browser or through the Cookie Preferences link in the footer of this website, if available. More information on Your State Law Privacy Rights may be found in our privacy policy.

Submission Information

Please tell us a little more about yourself.(Required)
Are you submitting this request on behalf of another individual?(Required)
What type of request would you like to make?(Required)

Your Contact Information

Name(Required)
Address(Required)
Authorization(Required)
Please note that if Patriot has a good-faith, reasonable, and documented belief that a request to opt-out is fraudulent, Patriot may deny the request. If you are not a resident of a state with a consumer privacy law, Patriot has no obligation to process your request as these rights are currently only available for residents of certain states. We may use your email address to follow up in case we cannot verify your request based on this form.
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