Are you an Authorized Agent submitting this request on behalf of another person?
You must make a choice
Note: "Authorized Agent" includes:
- A company or other organization performing this service for a natural person whether for a fee or not.
- A parent or guardian submitting on behalf of a minor.
- A family member or other holder of a power of attorney authorizing this submission.
You said you are an authorized agent. We are required to confirm your right to submit this request on behalf of your principal. Please complete the following:
We require copies of your authorizing documents in order to verify your right to submit this request. Allowable authorizing documents are:
- A notarized General Power of Attorney.
- A notarized Special Power of Attorney Specifically referencing these actions.
- If a parent or guardian is submitting for a minor, a certified birth certificate or adoption papers showing both your and the minor's full names.
You must upload a file
File: was uploaded successfully
Note: This request and these documents will be uniquely tied to the individual who you will name on the next screen. If you are an authorized agent for multiple people, you will have to submit each request individually.
These documents will be retained only for as long as necessary to verify your right to act as an Authorized Agent and/or to comply with applicable law.
From this point forward, please enter the information as if you were the principal. For example, where the form asks for "Last Name", please enter the Last Name of the person you are representing.
Are you a California resident as defined by the California Consumer Privacy Act?
You must make a choice
Westfield does not sell your personal information.
Specifically, Westfield does not sell your personal information for money. The California Consumer Privacy Act, however, uses a definition of "sell" that includes "other consideration" - a term that is not defined in the statute and, as of this publication, has not been clarified by California regulators or the courts. So here's what we do:
- We do not sell your personal information for money.
- We do not give your information to others in exchange for goods or services.
- We do not accept any discounts, price breaks, or other financial benefits for your information.
- However, we do share your information with third-parties for fraud control efforts. This is an explicitly allowed use. You may not opt out of it. Both the company and our insureds benefit from effective anti-fraud activities.
- We also share your information with third-parties in order to deliver the insurance services and transactions that you requested or which insurance regulations, laws, or other statuses require of us. This also is an allowed use and you may not opt out of it.
- We use third-party services such as Google Analytics to understand how you and others like you use our products and services. We do not think this counts as "consideration" under CCPA.
Westfield does not sell your personal information. Nevertheless, we will give you the opportunity to affirm that you don't want us to do what we already said we won't do.
We're going to need some information about you in order to process your request. (And yes, we are fully aware of the irony of having to ask you for lots of personal information so you can tell us to minimize the uses of your personal information.)
Please provide as much information as possible so we can identify you:
Now, please tell us exactly what you want us to do. (select as many as are applicable)
You must select at least one item
Is there any other information you think we may need in order to complete your request?
We are required by law to verify the identity of the person making this request. Please attach a copy of a government-issued document verifying your identity:
You must upload a file
File: was uploaded successfully
Allowable identity verification documents are:
- Drivers License
- Other state-issued identification card
- Passport
- Military ID card
If you are a parent or guardian submitting a request for a minor and you attached a certified birth certificate or adoption papers in the Authorized Agent step, attach your own identity verification document here.