CCPA Request Form

For California Residents Only

This online form is provided to California residents who have the right to request access to specific information Virtus collected from you. Please note that to release any information, we will require proof of identity. Details on how to supply proof of identity will be provided following receipt of this form. If you have any questions regarding this form, please contact us at 1-866-949-4151.

*All fields are required unless noted as optional.

I am a (optional)

Please tell us which right(s) you would like to exercise. (optional)

Know and access personal information Virtus collects Know what personal information Virtus sells/shares and with whom Correct or delete personal information collected by Virtus Opt out of sale or sharing of personal information by Virtus Limit Virtus' use or disclosure of sensitive personal information Other

First Name

Last Name

Contact email address

Address

Telephone number

Please provide additional specific information to assist us in processing your request. (optional)

Confirmation

I confirm that I am a resident of California and that the information I have provided is complete and accurate.