CCPA Web Form

Zenith Insurance Company values and respects your privacy. If you are a resident of California and you wish to submit a request to exercise your rights under the California Consumer Privacy Act (“CCPA”), please complete the following web form, select the options that apply to your request and click the "submit" button.

We will send and automated acknowledgement of your request. If you do not receive confirmation of your request, please re-submit your web form or contact us by calling us at 1-888-622-8012 or sending an email to privacyoffice@thezenith.com

After verifying your identity, we will process and respond to your request. For more on our general privacy practices, please review our website Privacy Statement and our CCPA Privacy Policy for California Residents.

First Name *

Middle Name *

Last Name *

Address *

City *

State *

Zipcode *

Telephone Number (Format: ##########) *

Email Address *

Confirm Email Address *

Please indicate your relationship with Zenith *

	Policy Applicant
	Policyholder
	Claimant
	Medical Provider
	Vendor/Service Provider
	Witness
	Employee/Intern of Zenith
	Authorized Agent of One of the Above
	Other

Please provide any additional details that you think might assist us in identifying you.

Type of Request *

	Right to Access
	Right to Delete Information
	Both

Additional Request Details

* Please note that Zenith does not "sell" personal information as that term is defined in the CCPA.

CCPA Web Form

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