California Consumer Privacy Request

PRIVACY REQUEST

The states of California and Virginia have specific laws which give their residents additional consumer privacy and data rights.
Please complete the form below to submit your request, including the type of request and your verifying information.

CONSUMER PRIVACY REQUEST – CALIFORNIA/VIRGINIA RESIDENTS

The information collected through this form will be used only for the purpose of verifying and fulfilling your request.

* Required fields

First Name*
Last Name*
Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Email Address
Date of Birth
Last 4 digits of Social Security Number
Policy number (if applicable)
Request (Pick One)*
- Do not sell or share my personal information
- A report detailing the information collected about me
- Delete my personal information
Additional information for your CCPA, CPRA, or VCDPA privacy request, if necessary:
Phone
This field is for validation purposes and should be left unchanged.

You can also contact us at:
Lincoln Heritage Life Insurance Co
Consumer Privacy
PO Box 29045
Phoenix, AZ 85038

Email: privacy@lhlic.com
Toll free number 1-800-438-7180