Request for Privacy Data

Name of Requester *

Email of Requester *

Consumer Name *

Consumer Email *

Consumer Address *

Consumer Date of Birth *

Consumer Phone Number *

California Resident *

Yes
No

Relationship *

Request for Access

The categories of personal information that Mercer Advisors has collected about me
The specific pieces of personal information that Mercer Advisors has collected about me
The categories of sources from which Mercer Advisors has collected my personal information
Mercer Advisors' business or commercial purpose for collecting my personal information
The categories of third parties with which Mercer Advisors shares my personal information
The categories of my personal information that Mercer Advisors has disclosed to third parties for a business purpose
Confirmation that Mercer Advisors has not sold my personal information

I hereby request that Mercer Advisors provide me with the following information, in each case with respect to Mercer Advisors' processing of my personal information during the past twelve (12) months:

Request for Delete

I hereby request that Mercer Advisors delete all personal information it has about me

Form of Response *

By mail to the address provided above
Electronically to the email address provided above

Authorized Agent *

Yes
No

I am an authorized agent submitting this request on the consumer’s behalf.

Request for Privacy Information

Please fill out this form