HomeCalifornia Consumer Privacy Act (CCPA) California Consumer Privacy Act (CCPA) Name First Name Last Name Phone Number*Email* Address*Apartment #City*Zip Code*Have you ever been an employee of Just Energy or any of its brands or affiliates?*YesNoDate of Birth* Date Format: MM slash DD slash YYYY Last 4 Digits of SSNAccount Number or Service Agreement IDAre you making the request on behalf of someone else?*If you are filling this form on behalf of someone, you will need to fill out the requester section of the form. You must include a Power of Attorney document.YesNoUpload Power of AttorneyHow would you like us to send your information?*EmailMailHow can we help?*--Please Select--Opt out of the sale/share of my personal information.Request to disclose specific pieces of personal information collected.Request to know about my personal information that has been sold or disclosed.I want to request to delete all of my personal information.Click to download the Declaration FormUpload Declaration FormCAPTCHA