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Personal Data Request

Some regional, national, and state laws confer certain rights relating to personal data. If you would like to make a request pertaining to your personal data, please complete the form below. 
What information do you need? * Check all that apply.


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Data Request Information
Please do not include any sensitive personal information.
If applicable
Contact Information
Other Information
Please do not include any sensitive personal information.

By providing my phone number or email address, I agree to allow American Fidelity Assurance Company to contact me regardless of my status on any Do-Not-Contact list. Contact Terms and Conditions

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