California Consumer Privacy Act Form

California Consumer Privacy Act Form California Consumer Privacy Act

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Personal Information Request Form

If you are a John Hancock customer and have been provided online access to your account/policy/plan, you can log in to view your personal profile. As a resident of California, you have certain rights to request access and/ or to delete your personal information that we may have on you or your household.

In order to view your request, we need to be able to 1.) authenticate you and 2.) locate any personal data for you or for whom the request is being made. There may be instances when we may be unable to fully comply with a request. When this occurs, the company will provide a written response with the reasons.

John Hancock will contact you if we determine that more information is required to satisfy your request.

Send your request by completing the below fields and clicking on Submit.

Please describe your relationship with John Hancock

What type of product(s) do/did you have? If more than one, please select one and add additional in the comments field.

Please select the John Hancock product

Account/Policy/Plan Number (optional)

Comments

Please supply the following information for the owner/insured/participant/account holder

First name

Middle name (optional)

Last Name

Social security number

Date of birth

Address

City

State

Zip code

Please supply your contact information

What is your relationship to the owner?

First name

Middle name (optional)

Last name

Please supply your contact information

First name

Middle name (optional)

Last Name

Address

City

State

Zip code

Re-enter your email

Phone number

Re-enter your email

Phone number

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