California Privacy Information Request

Our privacy policy provides that you may exercise the right to limit our use of disclosure of Sensitive Personal Information if eligible under applicable law. Please use this form to submit your request to limit the use or disclosure of Sensitive Personal Information.

As used herein, Sensitive Personal Information includes information that reveals:

Note that this process may be used only by residents of California. California law requires that we confirm that you are the person identified in this form before we provide any information to you, and we also must confirm that you are a resident of California.

Once we receive your request, we will contact you to confirm your identity and your California residency. If we are able to confirm these matters, we will then evaluate your request and provide a response within forty-five days after we receive your completed form. If you are eligible to limit the use of your information, we will not use the Sensitive Personal Information for any use that is not necessary for providing our products or services to you in accordance with applicable law. If we are unable to fully respond to your request within that time, we will contact you and let you know when and how we will be able to fully respond.

Office

937.485.2000

Document Sales

800.344.0996

One Reynolds Way

Dayton, Ohio 45430

The BANKERS SYSTEMS® mark is owned by Wolters Kluwer Financial Services, Inc. and is used with permission by license. Wolters Kluwer Financial Services, Inc. bears no responsibility or liability with respect to the forms provided.