Return to Dashboard

California Consumer Privacy Act

By submitting this Request Form to you, The CBE Group, Inc., I certify that I am a California resident who wishes to exercise my rights to make a request under the California Consumer Privacy Act (CCPA). I understand that you are required to keep a record of my request for at least 24 months, including any reference number assigned to my request, the request date and nature of the request, the manner in which the request was made, the date and nature of your response, and the basis for the denial of the request if the request is denied in whole or in part.

Requestor's Contact Information

I understand that your response(s) to my request will be in writing and I authorize you to provide your response(s), send verification of receipt of my request, or contact me in connection with my request, using the following contact information and method(s) of delivery:

AND (you must submit an email or physical address)

Verification Information

I understand that you need to be reasonably sure that I am making this request regarding my own information, or that I am authorized to make a request about someone else’s information. Therefore, I am providing the information below, which is accurate to the best of my knowledge, so that you can attempt to verify my request. I understand that you will use the verification data provided to cross-check information available in your records to the extent possible, and that you may require additional documentation if I am not making the request for my own information, and/or may deny my request if the information provided is insufficient for purposes of verification. (Check appropriate box and provide associated verification information as applicable):

AND (you must submit one of the following)

IMPORTANT – ADDITIONAL DOCUMENTATION REQUIRED: We require that you submit proof of your status as a parent or guardian. Acceptable forms of proof include a birth certificate or court document establishing your status.

This documentation can be emailed to privacy@cbecompanies.com, or mailed to us at:

The CBE Group, Inc.
Attn: Compliance (CCPA)
1309 Technology Parkway
Cedar Falls, IA 50613

Please include your CCPA request reference number (which we will provide to you after you submit this request), when submitting your documents.

AND (you must submit one of the following)

IMPORTANT – ADDITIONAL DOCUMENTATION REQUIRED: We require that you submit proof of your authorized status. Acceptable forms of proof include a Power of Attorney or other legal document establishing your authority, or proof of registration with the California Secretary of State as a representative authorized to act for another consumer.

This documentation can be emailed to privacy@cbecompanies.com, or mailed to us at:

The CBE Group, Inc.
Attn: Compliance (CCPA)
1309 Technology Parkway
Cedar Falls, IA 50613

Please include your CCPA request reference number (which we will provide to you after you submit this request), when submitting your documents.

Alternatively, the consumer whose information is at issue may contact us directly, using the CCPA request reference number you will receive in response to this request, to verify his/her identity and then provide us written permission authorizing you to act for him/her.

Nature of Request

The nature of my request is as follows, and I understand that I am only permitted to make a verifiable consumer Request to Know or Request to Access regarding my data under the CCPA twice in any 12-month period. (Check appropriate box and provide associated information as applicable).

I would like to know for the past 12 months:

  • The categories of Personal Information you have collected about me
  • The categories of sources from which that Personal Information was collected and the business or commercial purpose for collection
  • The categories of Third Parties with which you shared the Personal Information
  • The categories of PI you sold in the preceding 12 months and associated categories of third parties to which the PI was sold
  • The categories of Personal Information you disclosed for a business purpose and associated category of Third Party to whom it was disclosed.

I would like to receive a copy of the Personal Information collected about me for the past 12 months. Unless otherwise noted here, I would like to receive copies of all such information. I am aware that certain information will not be disclosed to me, even if my CCPA request is verified, such as my social security number, driver’s license number, and bank account information. I am also aware that you are not required to disclose specific pieces of personal information to me, as opposed to categories, unless I provide to you a written declaration under penalty of perjury stating that I am the consumer whose personal information is the subject of this request.

I would only like to receive copies of the following Personal Information/Categories of Personal Information from your records:

IMPORTANT – ADDITIONAL DOCUMENTATION REQUIRED: We require that you submit proof of your identity before we can disclose specific pieces of Personal Information. Please submit a Declaration, signed under Penalty of Perjury, confirming you are the consumer whose personal information is at issue in your request.

The Declaration can be emailed to privacy@cbecompanies.com, or mailed to us at:

The CBE Group, Inc.
Attn: Compliance (CCPA)
1309 Technology Parkway
Cedar Falls, IA 50613

Please include your CCPA request reference number (which we will provide to you after you submit this request), when submitting your Declaration.

I would like the Personal Information collected about me to be deleted. Unless otherwise noted here, I would like you to delete all such information.

I would only like you to delete the following Personal Information/Categories of Personal Information from your records:

We do not “Sell” your “Personal Information” to “Third Parties,” as those terms are used in the CCPA, which is why there is no option to submit a request to opt out of such sales.

If you have any questions about this form or your CCPA rights, you may contact us by telephone at (866) 206-5283 or email us at privacy@cbecompanies.com.

Our Privacy Policy, with additional information about the CCPA, is also available online at: paycbegroup.com/Home/Privacy

This is an attempt to collect a debt; any information obtained will be used for that purpose. This communication is from a debt collector.