Request for Information Collected by The Moore Law Group

Notice: The Moore Law Group is a debt collector. This is an attempt to collect a debt; any information obtained will be used for that purpose.

All fields with an (*) are mandatory.

REQUEST FOR INFORMATION COLLECTED
REQUEST FOR IDENTIFICATION OF INFORMATION COLLECTED | REQUEST FOR LIMITATION OF USE OF INFORMATION | REQUEST FOR DELETION OF INFORMATION | REQUEST TO CORRECT INACCURATE PERSONAL INFORMATION (CALIFORNIA RESIDENTS ONLY)
Name*
First Last
Physical Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email Address*
Please ensure the email you provide is private. Emails sent to a company email account are not considered private as employers are free to monitor those communications.
Enter Email Confirm Email
Last 4 Digits of Social Security Number*
Date of Birth*
The Moore Law Group Account Number (if known)
REQUESTS
Pursuant to the California Consumer Privacy Act, I hereby declare under penalty of perjury that the information provided above is true and correct and that I (the individual described above) am the individual that is providing the information above.

If you are not the individual described above, to act on behalf of an individual consumer, you must provide The Moore Law Group with written and signed permission from the individual consumer (please email the permission to poa@collectmoore.com) and the consumer must call us at 800 506 2652 to verify their identify with us and confirm that they have provided the authorized agent with permission to submit the request on their behalf.
I hereby request the categories of information that you have collected about me.
Request categories of information.
I hereby request identification of the specific information that you have collected about me.
Request identification of specific information.
I hereby request the categories of third parties to which you have disclosed information about me.
Request categories of third parties.
I hereby request the limitation of use and disclosure of the following information that you have collected about me. (I acknowledge that the information that I am requesting be limited may be subject to various exceptions and that you will inform me if my request cannot be honored because of such exceptions.)
Request limitation of use and disclosure.
Request limitation of use and disclosure of the following information:
I hereby request deletion of the following information that you have collected about me. (I acknowledge that the information that I am requesting be deleted may be subject to various exceptions and that you will inform me if my request cannot be honored because of such exceptions.)
Request deletion.
Information Requested to be Deleted:
I hereby wish to correct inaccurate personal information
Request correction.
The inaccurate information is:
The correct information is:
Today's Date*
E-Signature*

Request for Information Collected by The Moore Law Group

REQUEST FOR INFORMATION COLLECTED

REQUESTS