Privacy Rights Request

Depending on where you live and your relationship with us, you may have certain rights as described in our Privacy Policy or Workforce Privacy Notice.

"*" indicates required fields

WHO IS SUBMITTING THE REQUEST*
TYPE OF REQUEST*

CONSUMER/EMPLOYEE/APPLICANT’S INFORMATION

Please enter information regarding the person whose information is the subject of the request.
First Name:*
Last Name:*
Address:*

AGENT INFORMATION

If you are an agent or parent/legal guardian, please enter your contact information so that we may communicate with you regarding the request.
First Name:
Last Name:

AUTHORIZATION OR DOCUMENTS IN SUPPORT OF REQUEST

Please provide any documents you would like us to consider. Please send all documents to us at privacy@lpc.com.

ACKNOWLEDGEMENT

By pressing submit, I declare under penalty of perjury I am the person identified above or I am an authorized agent of the person identified above, and the information I provided is true and accurate.