RelSci California Government Code Section 6208.1

If you are a California resident and fall under Gov. Code 6208.1 please fill out the below

I affirm and certify that by submitting this form all the information and answers to questions herein are complete, true and correct to the best of my knowledge and belief; that I am a California resident; and that I am the individual whose data I seek to have you delete or an authorized agent acting on their behalf. I understand that any misrepresentation, falsification, or omission of any facts called for in the form may render it void. 

To help expedite the process, please include the specific URL (i.e. website page) you are referencing