Request or delete personal information

Requests must be made by or on behalf of current residents of California.

Are you requesting for yourself or for someone else?*

Yourself Someone else

Are you requesting your personal info or deleting your personal info from Liberty Federal Credit Union?*

Requesting Personal Info Delete Personal Info

Categories of personal info Specific pieces of personal info

Your Contact Info

We’ll use this information to contact you if we have questions and send our response.

Name*

First Name

Last Name

Email*

Phone*

Address*

Address Line 1

Address Line 2

City

ZIP Code

State*

Delivery Method*

Your Contact Info

We’ll use this information to contact you if we have questions and send our response.

Name*

First Name

Last Name

Email*

Phone*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Who are you requesting it for?

You must be an authorized representative to continue. *

By checking this box, I certify that I am authorized to act for the consumer whose records I an requesting

Note: You’ll receive a follow-up email with an attached certification form, which you must complete and return to process the request.

Name*

First Name

Last Name

Email*

Phone*

Address*

Address Line 1

Address Line 2

City

ZIP Code

State*

Delivery Method*

The report will be sent to you, the authorized representative.

I hereby certify under penalty of perjury that I am the member or authorized agent for the member whose personal information is the subject of this request.

Please click here to download the Liberty FCU CCPA Authorized Agent Designation Form. Once you complete the form please attach it below.

File*

No File Chosen

File uploads may not work on some mobile devices.