Online Request Form Instructions

Online Request Form Instructions
Follow the instructions contained in this document to submit a request using our Online Request Form. Once
we have received your request, it will take approximately two weeks to process and send you a letter and a
hardcopy of your report via U.S. Mail. If you choose to receive your report online, you will receive a PIN and
URL in the letter. To access your report online, follow the steps identified in the Download Your Report
Online section. If your request cannot be processed, you will receive a letter notifying you to call theConsumer Center and provide more information.

General Information
You may order information on yourself by filling out a request, which must include proper identification. If you
have questions or need to submit documents, you can do so via our LexisNexis Risk Solutions Reports Help
page https://consumer.risk.lexisnexis.com/help. If you need to speak to a live LexisNexis Risk Solutions
Consumer Center representative, please call 1-888-497-0011.
To submit a request, you are required to provide your First Name, Last Name, Street Address, City, Zip,and Date of Birth. Depending on the type of request (e.g., a request for your consumer disclosure report),
you may also be required to provide one of the two following optional fields: Social Security Number orYour Driver’s License Number and State. The information that you provide will only be used by us to verify
your identity and for consumer disclosure purposes. It will not be provided or sold to any other company.
We may not be able to comply with your request if we are unable to confirm your identity or to connect the
information you submit in your request with personal information in our possession.
Please complete all the sections on the form so that we may properly process your request. If we are unable
to process your request, we will notify you via U.S. Mail.

Section 1 – Name
Note: *required ⁺At least one is required
1. Enter your first given name in the First Name* text field. This is a required field.
2. Enter your middle name in the Middle Name text field.
3. Enter your full last name in the Last Name* text field. Your last name is your family name or surname.
This is a required field.
4. Enter your generational suffix (e.g., Sr., Jr., III) in the Suffix field if applicable. A name suffix follows aperson's full name and provides additional information about the person.

Section 2 – Resident Address
1. Enter the street name of your current address in the Street Address* text field. This is a required field.
2. Enter your city in the City* text field. This is a required field.
3. Enter your abbreviated state of residence in the State* drop-down list. This is a required field. If yourstate entry indicates that you are a California resident, you have the option to request California
options.
4. Enter your 5-digit ZIP code in the Zip code* text field. Note that the zip code should consist of fivenumbers. Example: 20006. This is a required field.
5. If the mailing address is not your permanent address of residence, select the My Delivery Address is
Not the Same as My Resident Address checkbox.

Section 3 – Delivery Address (Mailing Address)
1. Enter the street name of your delivery address in the Street Address* text field. This is a required field.
2. Enter your delivery address city in the City* text field. This is a required field.
3. Select your abbreviated state of residence in the State* drop-down list. This is a required field. If yourstate entry indicates that you are a California resident, you have the option to request California
options.
4. Select your 5-digit ZIP code in the Zip code* text field. Note that the zip code should consist of fivenumbers. Example: 20006. This is a required field.
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Section 4 – Request and Receive Your Consumer Disclosure Report
Select the Request Your Consumer Disclosure Report checkbox and complete the form fields to submit arequest to access your file and learn more about the personal information LexisNexis Risk Solutions
maintains about you in accordance with the Fair Credit Reporting Act. California, Colorado, Connecticut,
Montana, Oregon, Texas, Utah, and Virginia residents will receive both their LexisNexis® Risk Solutions
Consumer Disclosure Report and their State Privacy Act Report. Nevada residents do not receive a State
Privacy Act Report.
LexisNexis Risk Solutions will use your personal information in compliance with our Privacy Notice, which isavailable at: https://risk.lexisnexis.com/state-privacy-act-notice.

Request a Description of Procedure Letter
You may select the Request a Description of Procedure Letter checkbox below to receive a letter from
LexisNexis Risk Solutions that is personal to your dispute request(s) and describes how we process
dispute(s) that you may have in the system.

Correct My Personal Information
In some circumstances, you may also exercise your right to request the correction of inaccurate personal
information maintained about you. To submit a correction request, contact us via U.S. Mail at the address atthe bottom of this document or call us at 1-888-217-1591 to speak to a live LexisNexis Risk Solutions
Consumer Center representative.

Requesting A Consumer Disclosure Report on Behalf of a Consumer
Minor, Incapacitated, or Deceased Consumer
A third-party may request a consumer disclosure on behalf of a consumer who is a minor, incapacitated, or
deceased. To submit the request on behalf of a consumer who is a minor, incapacitated, or deceased, please
go to https://consumer.risk.lexisnexis.com/help. On that webpage, please fill out the name, phone number andemail address of the requester. In the “Reason for contact” field, please state “Third-Party Consumer
Disclosure Request.” In the “Details” field, please state “I am requesting a disclosure on a consumer who is”
and then include whether the subject consumer is a minor, incapacitated, or deceased, as applicable. In
addition, in the “Details” field, include the identifying information about the subject consumer that is required in
Sections 1 through 3 above as well as the subject consumer’s Social Security Number or Driver’s License
Number and State.
Last, click on the “choose files” button and upload the following:
1. A government-issued document demonstrating that the subject consumer is a minor, incapacitated, or
deceased; and2. A government-issued document demonstrating that the third-party has the legal authority to request a
disclosure on behalf of the subject consumer.
a. For parents requesting a disclosure on behalf of a minor, this could include a copy of theminor’s birth certificate, which shows the minor’s parents, along with a copy of the parent’s
driver’s license.
b. For guardians requesting a disclosure on behalf of a minor or an individual who isincapacitated, this could include a copy of a document demonstrating guardianship status overthe consumer.
c.

For individuals requesting a disclosure on behalf of a consumer who is deceased, this could
include a copy of a death certificate showing the subject consumer is deceased, and a copy ofa document demonstrating that the requester has authority to act on behalf of the decedent’s
estate.

d. The list above is not intended to be exhaustive.
If we are unable to process your third-party request, we will notify you via U.S. Mail. If you need to speak to alive LexisNexis Risk Solutions Consumer Center representative, please call 1-888-497-0011.

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Spouse Request
A third-party may also request a consumer disclosure on behalf of the requester’s spouse. To submit therequest on behalf of a spouse, the requesting spouse should go to https://consumer.risk.lexisnexis.com/help. On
that webpage, please fill out the name, phone number and email address of the requester. In the “Reason forcontact” field, please state “Third-Party Consumer Disclosure Request.” In the “Details” field, please state “I
am requesting a disclosure on my spouse.” In addition, in the “Details” field, include the identifying information
about the subject consumer that is required in Sections 1 through 3 above as well as the subject consumer’sSocial Security Number or Driver’s License Number and State.
Last, click on the “choose files” button and upload: (1) a copy of the driver’s license or other governmentissued photo identification pertaining to the subject consumer; (2) a copy of a government-issued document
demonstrating that the requester is the subject consumer’s spouse; and (3) a power of attorney, signed by the
subject consumer, in which the consumer gives power of attorney to the specific requester making the request
for the specific purpose of the requester requesting a consumer file disclosure.
If we are unable to process your third-party request, we will notify you via U.S. Mail. If you need to speak to alive LexisNexis Risk Solutions Consumer Center representative, please call 1-888-497-0011.
Attorney Request
An attorney may also request a consumer disclosure on behalf of a consumer who is that attorney’s client. An
attorney may only request a disclosure on one client in a given request. The attorney may not submit a massrequest for disclosures on multiple clients at once. To submit a request on behalf of a client, the attorney should
go to https://consumer.risk.lexisnexis.com/help. On that webpage, please fill out the name, phone number andemail address of the requester. In the “Reason for contact” field, please state “Third-Party Consumer
Disclosure Request.” In the “Details” field, please state “I am requesting a disclosure on a client who I
represent as the client’s attorney.” In addition, in the “Details” field, include the identifying information about
the subject consumer that is required in Sections 1 through 3 above as well as the subject consumer’s Social
Security Number or Driver’s License Number and State.
Last, click on the “choose files” button and upload: (1) a copy of the driver’s license or other governmentissued photo identification pertaining to the subject consumer; and (2) a power of attorney, signed by the
subject consumer, in which the consumer gives power of attorney to the specific attorney making the request
for the specific purpose of the attorney requesting a consumer file disclosure.
If we are unable to process your third-party request, we will notify you via U.S. Mail. If you need to speak to alive LexisNexis Risk Solutions Consumer Center representative, please call 1-888-497-0011.

Additional Privacy Options for California Residents
As a California resident, you have additional options under the California Privacy Rights Act (CPRA). To
request any of the following options, please select the check boxes below.
Notice of Right to Opt-Out of Sale/Sharing: A Do Not Sell or Share My Personal Information request,
sometimes referred to as an opt-out request, will restrict your personal information that is subject to the
California Privacy Laws from being sold to a third party and from sharing such personal information for crosscontext behavioral advertising if applicable. Our products and services are not linked to tracking technologies
utilized through our websites for cross-context behavioral advertising, and we do not share personal
information in our products and services for cross-context behavioral advertising.
A Full Opt-Out request will restrict your personal information from being sold to a third party subject tocertain exceptions. A Partial Opt-Out request will opt-out your personal information we maintain that is
subject to the California Privacy Laws except for any data we have relative to your occupation or
profession, which will continue to be sold to third parties. In any case, an opt-out request will not apply to
information that is exempt from the requirements of the California Privacy Laws. If you have previously
opted out but instead want to authorize your personal information to be sold, you may submit an Opt-In
request. For more information, or for additional methods to submit an opt-out request, see our California
Privacy Rights page. https://consumer.risk.lexisnexis.com/california.

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Notice of Right to Limit the Use of My Sensitive Personal Information: A Limit the Use of My Sensitive Personal
Information request will prevent your sensitive personal information that is subject to the requirements of the
California Privacy Laws from being used or disclosed, subject to certain exceptions provided by law. A Limit
Use request will limit the use and disclosure of sensitive personal information subject to certain exceptions.
1. To request that your personal information is not sold or shared, check the (Full Opt-Out) Do Not Sellor Share My Personal Information.
a. Limit Use: To request that your sensitive personal information is limited, check the Limit Use
option.
2. If you are a professional provider and want to request that we do not sell your personal information
except for your professional information, check the (Partial Opt-Out) Allow for the Sale of My
Professional Information but otherwise Do Not Sell My Personal Information radio button. Readthe following message for additional information.
3. An opt-in request can be submitted to remove an opt-out from your file in the event you want yourpersonal information to continue to be sold to a third party. To request that your personal information issold, check the (Opt-In) Allow for the Sale of My Personal Information radio button.
4. To request that we delete your personal information collected from you, check the Delete My
Personal Information Request checkbox.

Additional Privacy Options for Colorado Residents
As a Colorado resident, you have additional options under the Colorado Privacy Act (CPA).
Notice of Right to Opt-Out of Sale/Sharing: A Do Not Sell or Share My Personal Information request,
sometimes referred to as an opt-out request, will restrict your personal information that is subject to therequirements of the CPA from being processed for purposes of (i) targeted advertising, (ii) the sale ofpersonal data, and (iii) profiling in furtherance of decisions that produce legal or similarly significant effects
concerning you, if applicable. Our products and services are not linked to tracking technologies utilized
through our websites for targeted advertising, and we do not sell personal information in our products andservices for targeted advertising online.
A Full Opt-Out request will opt-out your personal information from being sold to a third party or used forsuch profiling subject to certain exceptions.
Separately, we also offer a Partial Opt-Out request option. A Partial Opt-Out request will opt-out yourpersonal information we maintain that is subject to the Colorado Privacy Laws except for any data we haverelative to your occupation or profession, which will continue to be sold to third parties.
In any case, an opt-out request will not apply to information that is exempt from the requirements of the
CPA.
If you have previously opted out but instead want to authorize your personal information to be sold, you
may submit an Opt-In request. For more information, or for additional methods to submit an opt-out
request, see our Colorado Privacy Rights page. https://consumer.risk.lexisnexis.com/colorado
1. To request that your personal information is not sold or shared, check the (FullOpt-Out) Do Not Sell or Share My Personal Information.
2. If you are a professional provider and want to request that we do not sell your personal
information except for your professional information, check the (Partial Opt-Out) Allow
for the Sale of My Professional Information but otherwise Do Not Sell My Personal
Information radio button. Read the following message for additional information:
3. An opt-in request can be submitted to remove an opt-out from your file in the event you
want your personal information to continue to be sold to a third party. To request that yourpersonal information is sold, check the (Opt-In) Allow for the Sale of My Personal
Information radio button.
4. To request that we delete your personal information collected from you, check the Delete My
Personal Information Request checkbox.

Additional Privacy Options for Connecticut Residents
As a Connecticut resident, you have additional options under the Connecticut Data Privacy Act (CTDPA).
Notice of Right to Opt-Out of Sale/Sharing: A Do Not Sell or Share My Personal Information request,
sometimes referred to as an opt-out request, will restrict your personal information that is subject to the4

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requirements of the CTDPA from being processed for purposes of (i) targeted advertising, (ii) the sale ofpersonal data, and (iii) profiling in furtherance of decisions that produce legal or similarly significant effects
concerning you, if applicable. Our products and services are not linked to tracking technologies utilized
through our websites for targeted advertising, and we do not sell personal information in our products andservices for targeted advertising online.
A Full Opt-Out request will opt-out your personal information from being sold to a third party or used forsuch profiling subject to certain exceptions.
Separately, we also offer a Partial Opt-Out request option. A Partial Opt-Out request will opt-out yourpersonal information we maintain that is subject to the Connecticut Privacy Laws except for any data wehave relative to your occupation or profession, which will continue to be sold to third parties. In any case, an
opt-out request will not apply to information that is exempt from the requirements of the CTDPA.
If you have previously opted out but instead want to authorize your personal information to be sold, you
may submit an Opt-In request. For more information, or for additional methods to submit an opt-out
request, see our Connecticut Privacy Rights page. https://consumer.risk.lexisnexis.com/connecticut.
1. To request that your personal information is not sold or shared, check the (FullOpt-Out) Do Not Sell or Share My Personal Information.
2. If you are a professional provider and want to request that we do not sell your personal
information except for your professional information, check the (Partial Opt-Out) Allow
for the Sale of My Professional Information but otherwise Do Not Sell My Personal
Information radio button. Read the following message for additional information.
3. An opt-in request can be submitted to remove an opt-out from your file in the event you
want your personal information to continue to be sold to a third party. To request that yourpersonal information is sold, check the (Opt-In) Allow for the Sale of My Personal
Information radio button.
4. To request that we delete your personal information collected from you, check the Delete My
Personal Information Request checkbox.

Additional Privacy Options for Montana Residents
As a Montana resident, you have additional options under the Montana Privacy Laws (MTCDPA). To
request any of the following options, please select the check boxes below.
Notice of Right to Opt-Out of Sale/Sharing: A Do Not Sell or Share My Personal Information request,
sometimes referred to as an opt-out request, will restrict your personal information that is subject to therequirements of the Montana Privacy Laws from being processed for purposes of (i) targeted advertising, (ii)the sale of personal data, and (iii) profiling in furtherance of decisions that produce legal or similarly
significant effects concerning you, if applicable. Our products and services are not linked to tracking
technologies utilized through our websites for targeted advertising, and we do not share personal
information in our products and services for targeted advertising online.
A Full Opt-Out request will restrict your personal information from being sold to a third party subject tocertain exceptions.
Separately, we also offer a Partial Opt-Out request option. A Partial Opt-Out request will opt-out yourpersonal information we maintain that is subject to the Montana Privacy Laws except for any data we haverelative to your occupation or profession, which will continue to be sold to third parties.
In any case, an opt-out request will not apply to information that is exempt from the requirements of theMontana Privacy Laws. If you have previously opted out but instead want to authorize your personal
information to be sold, you may submit an Opt-In request.
For more information, or for additional methods to submit an opt-out request, see our Montana Privacy
Rights page. https://consumer.risk.lexisnexis.com/montana
1. To request that your personal information is not sold or shared, check the (Full Opt-Out) Do Not Sellor Share My Personal Information.
2. If you are a professional provider and want to request that we do not sell your personal
information except for your professional information, check the (Partial Opt-Out) Allow
for the Sale of My Professional Information but otherwise Do Not Sell My Personal
Information radio button. Read the following message for additional information:
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3.

In opt-in request can be submitted to remove an opt-out from your file in the event you want yourpersonal information to continue to be sold to a third party. To request that your personal information
is sold, check the (Opt-In) Allow for the Sale of My Personal Information radio button.
4. To request that we delete your personal information collected from you, check the Delete My
Personal Information Request checkbox.

Additional Privacy Options for Oregon Residents
As an Oregon resident, you have additional options under the Oregon Consumer Privacy Act (OCPA). To
request any of the following options, please select the check boxes below.
Notice of Right to Opt-Out of Sale/Sharing: A Do Not Sell or Share My Personal Information request,
sometimes referred to as an opt-out request, will restrict your personal information that is subject to therequirements of the Oregon Privacy Laws from being processed for purposes of (i) targeted advertising, (ii)the sale of personal data, and (iii) profiling in furtherance of decisions that produce legal or similarly
significant effects concerning you, if applicable. Our products and services are not linked to tracking
technologies utilized through our websites for targeted advertising, and we do not share personal
information in our products and services for targeted advertising online.
A Full Opt-Out request will restrict your personal information from being sold to a third party subject tocertain exceptions.
Separately, we also offer a Partial Opt-Out request option. A Partial Opt-Out request will opt-out yourpersonal information we maintain that is subject to the Oregon Privacy Laws except for any data we haverelative to your occupation or profession, which will continue to be sold to third parties.
In any case, an opt-out request will not apply to information that is exempt from the requirements of theOregon Privacy Laws.
If you have previously opted out but instead want to authorize your personal information to be sold, you may
submit an Opt-In request. For more information, or for additional methods to submit an opt-out request, see
our Oregon Privacy Rights page. https://consumer.risk.lexisnexis.com/oregon
1. To request that your personal information is not sold or shared, check the (Full Opt-Out) Do Not Sellor Share My Personal Information.
2. If you are a professional provider and want to request that we do not sell your personal
information except for your professional information, check the (Partial Opt-Out) Allow
for the Sale of My Professional Information but otherwise Do Not Sell My Personal
Information radio button.
3. An opt-in request can be submitted to remove an opt-out from your file in the event you
want your personal information to continue to be sold to a third party. To request that yourpersonal information is sold, check the (Opt-In) Allow for the Sale of My Personal
Information radio button.
4. To request that we delete your personal information collected from you, check the Delete My
Personal Information Request checkbox.

Additional Privacy Options for Texas Residents
As a Texas resident, you have additional options under the Texas Data Privacy and Security Act(TDPSA). To request any of the following options, please select the check boxes below.
Notice of Right to Opt-Out of Sale/Sharing: A Do Not Sell or Share My Personal Information request,
sometimes referred to as an opt-out request, will restrict your personal information that is subject to the
Texas Privacy Laws from being processed for purposes of (i) targeted advertising, (ii) the sale of personal data,and (iii) profiling in furtherance of decisions that produce legal or similarly significant effects concerning you, if
applicable. Our products and services are not linked to tracking technologies utilized through our websites fortargeted advertising, and we do not share personal information in our products and services for targeted
advertising online.
A Full Opt-Out request will restrict your personal information from being sold to a third party subject to certain
exceptions.
Separately, we also offer a Partial Opt-Out request option. A Partial Opt-Out request will opt-out yourpersonal information we maintain that is subject to the Texas Privacy Laws except for any data we haverelative to your occupation or profession, which will continue to be sold to third parties.
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In any case, an opt-out request will not apply to information that is exempt from the requirements of the Texas
Privacy Laws.
If you have previously opted out but instead want to authorize your personal information to be sold, you may
submit an Opt-In request. For more information, or for additional methods to submit an opt-out request, see
our Texas Privacy Rights page. https://consumer.risk.lexisnexis.com/texas
1. To request that your personal information is not sold or shared, check the (Full Opt-Out) Do Not Sellor Share My Personal Information.
2. If you are a professional provider and want to request that we do not sell your personal
information except for your professional information, check the (Partial Opt-Out) Allow
for the Sale of My Professional Information but otherwise Do Not Sell My Personal
Information radio button.
3. An opt-in request can be submitted to remove an opt-out from your file in the event you
want your personal information to continue to be sold to a third party. To request that yourpersonal information is sold, check the (Opt-In) Allow for the Sale of My Personal
Information radio button.
4. To request that we delete your personal information collected from you, check the Delete My Personal
Information Request checkbox.

Additional Privacy Options for Utah Residents
As a Utah resident, you have additional options under the Utah Consumer Privacy Act (UCPA). To request
any of the following options, please select the check boxes below.
Notice of Right to Opt-Out of Sale/Sharing: A Do Not Sell or Share My Personal Information request,
sometimes referred to as an opt-out request, will restrict your personal information that is subject to therequirements of the UCPA from being processed for
purposes of (I) targeted advertising, and (ii) the sale of personal data, if applicable. Our products andservices are not linked to tracking technologies utilized through our websites for targeted advertising, andwe do not sell personal information in our products and services for targeted advertising online.
A Full Opt-Out request will opt-out your personal information from being sold to a third party subject tocertain exceptions.
Separately, we also offer a Partial Opt-Out request option. A Partial Opt-Out request will opt-out yourpersonal information we maintain that is subject to the Utah Privacy Laws except for any data we haverelative to your occupation or profession, which will continue to be sold to third parties.
In any case, an opt-out request will not apply to information that is exempt from the requirements of the
UCPA.
If you have previously opted out but instead want to authorize your personal information to be sold, you
may submit an Opt-In request. For more information, or for additional methods to submit an opt-out
request, see our Utah Privacy Rights page. https://consumer.risk.lexisnexis.com/utah
1. To request that your personal information is not sold or shared, check the (Full Opt-Out) Do Not Sellor Share My Personal Information.
2. If you are a professional provider and want to request that we do not sell your personal
information except for your professional information, check the (Partial Opt-Out) Allow
for the Sale of My Professional Information but otherwise Do Not Sell My Personal
Information radio button. Read the following message for additional information:
3. In opt-in request can be submitted to remove an opt-out from your file in the event you want yourpersonal information to continue to be sold to a third party. To request that your personal information
is sold, check the (Opt-In) Allow for the Sale of My Personal Information radio button.
4. To request that we delete your personal information collected from you, check the Delete My
Personal Information Request checkbox.

Additional Privacy Options for Virginia Residents
As a Virginia resident, you have additional options under the Virginia Consumer Data Protection Act(“VCDPA”). To request any of the following options, please select the check boxes below.
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Notice of Right to Opt-Out of Sale/Sharing: A Do Not Sell or Share My Personal Information request,
sometimes referred to as an opt-out request, will restrict your personal information that is subject to therequirements of the VCDPA from being processed for purposes of (i) targeted advertising, (ii) the sale ofpersonal data, and (iii) profiling in furtherance of decisions that produce legal or similarly significant effects
concerning you, if applicable. Our products and services are not linked to tracking technologies utilized
through our websites for targeted advertising, and we do not sell personal information in our products andservices for targeted advertising online.
A Full Opt-Out request will opt-out your personal information from being sold to a third party or used forsuch profiling subject to certain exceptions.
Separately, we also offer a Partial Opt-Out request option. A Partial Opt-Out request will opt-out yourpersonal information we maintain that is subject to the Virginia Privacy Laws except for any data we haverelative to your occupation or profession, which will continue to be sold to third parties.
In any case, an opt-out request will not apply to information that is exempt from the requirements of the
VCDPA.
If you have previously opted out but instead want to authorize your personal information to be sold, you
may submit an Opt-In request. For more information, or for additional methods to submit an opt-out
request, see our Virginia Privacy Rights page. https://consumer.risk.lexisnexis.com/virginia
1. To request that your personal information is not sold or shared, check the (Full Opt-Out) Do Not Sellor Share My Personal Information.
2. If you are a professional provider and want to request that we do not sell your personal
information except for your professional information, check the (Partial Opt-Out) Allow
for the Sale of My Professional Information but otherwise Do Not Sell My Personal
Information radio button. Read the following message for additional information:
3. In opt-in request can be submitted to remove an opt-out from your file in the event you want yourpersonal information to continue to be sold to a third party. To request that your personal information
is sold, check the (Opt-In) Allow for the Sale of My Personal Information radio button.
4. To request that we delete your personal information collected from you, check the Delete My
Personal Information Request checkbox.

Important Message Regarding Your Professional Information
As a California, Colorado, Connecticut, Montana, Oregon, Texas, Utah, and Virginia resident in somecircumstances you may be able to request to opt-out of your personal information being sold to third parties,
which may include some professional information. However, please be advised that opting out of the sale ofyour professional information may result in the following:• Incorrect or incomplete information in directories for patients and members when searching for
you and your practice.
• Delayed prescription fills and/or denial of prescriptions for your patients at point of dispensing;
and/or• Decreased ability for you and your practice to be identified for referrals.
As a California, Colorado, Connecticut, Montana, Oregon, Texas, Utah, and Virginia resident, when you visit our
websites, we sometimes use tracking technologies which may be considered a “sale” of your personal
information for targeted advertising. You may request to opt-out of such tracking technologies by utilizing the“Cookie Settings” link on our websites that use tracking technologies for targeted advertising or by sending an
opt-out preference signal supported by your device or browser. Your use of an opt-out preference signal will
apply only to your device or browser and not to other consumer information that is not linked to your device orbrowser. Please note this Consumer Portal website does not use tracking technologies for targeted
advertising. For more information, or for additional methods to submit an opt-out request, please view theConsumer Web Portal at https://consumer.risk.lexisnexis.com/consumer.

Additional Privacy Options for Nevada Residents
As a Nevada resident, you can order additional options under the Nevada Privacy Law (NPL). To request
any of the following options, please select the checkboxes that apply to your request:

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Notice of Right to Opt-Out: A Do Not Sell My Personal Information request, sometimes referred to as an
opt-out request, will prevent your personal information from being sold to a third party. If you have previously
opted-out but instead want to authorize your personal information to be sold, you may submit an opt-in
request.
1. To request that your personal information is not sold, check the (Opt-Out) Do Not Sell My
Personal Information radio button.
2. To request that your personal information is sold, check the (Opt-In) Allow for the Sale of My Personal
Information radio button.
Note: An opt-in request can be submitted to remove a California, Colorado, Connecticut, Montana,
Nevada, Oregon, Texas, Utah or a Virginia opt-out from your file in the event you want yourpersonal information to continue to be sold to a third party.
For information about our state privacy information, view our LexisNexis Risk Solutions State Privacy Noticeat https://risk.lexisnexis.com/state-privacy-act-notice.

Section 5 – Personal Information
1. Your Social Security Number or your Driver’s License Number and Driver’s License Stateare not required to submit an Opt-Out or Opt-In request. However, providing thisinformation will help us locate your information and process your request.
2. Enter your SSN in the SSN+ text field. Providing a 9-digit Social Security Number in the
SSN+ text field is voluntary on this form but please note that you are required to submit
either your SSN or your Driver’s License Number and Driver’s License State to submit areport or a delete request and verify your identity.
3. Enter your phone number in the Phone text field.
4. Enter your date of birth in the Date of Birth* text field as a 2-digit month, 2-digit day, and 4digit year (mm/dd/yyyy). For example, enter January 8, 1980, as 01/08/1980. This is arequired field.
Note: If the entered date of birth is below 18 years, you will need to call the Consumer
Center. The Consumer Center will require additional information to process your request.
5. Enter your Driver’s License Number in the Driver’s License Number+ text field. Providing a
Driver’s License Number in the Driver’s License Number+ text field is voluntary but please
note that you are required to submit either your SSN or your Driver’s License Number andDriver’s License State to submit a report or a delete request and verify your identity.
6. Enter your Driver’s License State in the Driver’s License State+ text field.
7. Enter your email address in the Email text field. Email is optional but must be provided
and verified to include email-linked data in your report.

Section 6 – Submitting Your Online Request
Prior to submitting your request(s), you are required to complete a Google reCAPTCHA security checkfor spam and abuse. Once you complete the Google reCAPTCHA process, you can go on to submit yourrequest online.
1. Click on the I’m not a robot checkbox to start the reCAPTCHA check.
2. Sometimes extra information is needed to make sure you are human and not a robot, so you may be
asked to solve a challenge. Simply follow the on-screen instructions to solve the puzzle and thencontinue with your task. If your answer is correct, the audio challenge will close and the reCAPTCHA
checkbox will become checked.
3. Before submitting your request, look over the information that you have entered in the form fields andverify that it is complete and correct as stated.
4. To submit your request(s), click on the Submit button at the base of the form.
5. After your request(s) is submitted, an Acknowledgement Message will display to let you know if yourrequest has been received and let you know that you will receive a message via U.S. Mail within two
weeks.
6. If your report request was successfully processed, you will receive a letter via U.S. Mail containing a
URL Link and a PIN. See the Download Your Report Online section below for more information.
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7. If your request was not successfully processed, you will receive a letter via U.S. Mail containing arequest to call the Consumer Center so that they can gather more information.

Download Your Report Online
As a consumer, you can choose to receive a report online. If you request to receive your report online, youwill first receive a letter in the U.S. Mail. The letter will let you know whether your request was successful ornot. If the report request was not successful, you will be asked to contact the Consumer Center to provide
more information.
If your report request was successfully processed, you will receive a PIN and URL in the letter. Follow
the steps below to access your report using the URL and PIN that you received in the letter:
1. Type the URL in your browser. The PIN Entry screen displays.
2. Type the PIN in the PIN Entry text field.
3. Click Submit. The Download Attachments screen displays.
4. Click on a report link in the Name column to download and open the report. The
5. Password dialog box displays.
6. Type the same PIN in the Password required text box.
7. Click Submit. The report opens as a PDF document.
Note: For your privacy, all downloadable reports are encrypted. Please use the PIN that you received in
the mail to open the PDF version of a report.

Submit Your Request by Phone
As a consumer, you can choose to submit your request via phone. To submit a request via phone, call thephone number below to speak to a live operator:• 1-866-897-8126
Note: You can also submit and receive a request online via the following link:
https://consumer.risk.lexisnexis.com/request.

FAQ: Protecting Your Information through Authentication
1. Why do I need to provide personal information to receive my report?
Your personal identifying information, such as your Social Security number and date of birth, is only used toconfirm your identity and to make sure that the person ordering the report is really you. LexisNexis Risk
Solutions process is like the authentication process used by banks, credit card companies and otherorganizations that require sensitive personal information to make sure that unauthorized individuals do notaccess your personal information by phone or by mail.

2. What do you mean by “confirm your identity,” “verify your identity” and “authentication”?
These are terms used to describe the process of verifying that the person ordering the report isreally you. We cannot provide a report to someone merely claiming to be a certain person because the riskof fraud is too great.
3. Will the information that I provide be provided or sold to other companies?
No. The information that you provide will only be used by LexisNexis Risk Solutions for authentication andconsumer disclosure purposes. We compare the information you provide against existing data in our system
to verify your identity. It will not be provided or sold to any other company.

4. Have criminals been able to access information supplied during the authentication process from
LexisNexis Risk Solutions in the past?
No. Information supplied by the consumer directly to LexisNexis Risk Solutions for authentication purposes is
not distributed to, or accessible by, third parties.
5. Is there another way that I can receive a copy of my report without going through authentication?
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The only method LexisNexis Risk Solutions has of making sure that your consumer report goes to you, andyou alone is for you to supply us with the proper identity information that can be matched against existingdata in our system to verify your identity. This is necessary to help ensure that only you have access to yourreport.
6. How do I get more information about LexisNexis Risk Solutions?
• For more information on LexisNexis Risk Solutions,
go to https://consumer.risk.lexisnexis.com.

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