Consumer Data Request Form – Request to Know

If you are a California, Colorado, Connecticut, Utah, or Virginia resident, you have the right to a Request to Know the personal information that HomeAppointments.com possesses about you.

If you would like to submit a Request to Know the personal information that HomeAppointments.com possesses about you, please complete and submit the form below:

I am submitting a request:

For Myself On behalf of another person

First Name

Last Name

Phone

Zip Code

Certification

By submitting this form, I declare under penalty of perjury that I am a California, Colorado, Connecticut, Utah or Virginia resident, the information I have supplied in this application is correct and I am the person to whom it relates. I understand that attempting to obtain personal data to which you are not entitled is a legal offense.

IMPORTANT: Please Verify Your Email

After completing this form, you will receive an automated email confirming that we have received your submission. Please keep this e-mail for your records. The team at HomeAppointment.com will review your submission; you can expect a response to your request within 15 days of your form submission.”