Request Form

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Request to know specific information

Request to know category of information

Request to opt out of the sale of your information

Request to delete all personal information

Request to correct personal information

Are you acting as an authorized agent?

Yes, I am acting as an authorized agent

Submit Verifying Documents

Mail your Authorized Agent or Power of Attorney documentation to:

PO BOX 200 St. Cloud, MN 56395

Verify Authorized Agent

Agent First Name

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Agent Last Name

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Agency Name

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Agency Email

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Verify Customer Identity

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This information will only be used to verify your identity.

Customer First Name

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Customer Last Name

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Address Line 1

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Address Line 2

City

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State

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Zip

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Phone Number

Customer Number

Order Number

Prospect Number

SSN (Last 4 Digits)

Email Address

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Consumer Privacy Request Form

State of Residence

Select Request

Are you acting as an authorized agent?

Verify Authorized Agent

Verify Customer Identity

Provide all available information.

This information will only be used to verify your identity.