Personal Information Request Form

FIll out the following to inquire about personal information or correct or delete that information.

*All Fields are Required

Please enter your zip code if you're making a request for yourself or the zip code of the person for whom you're making a request. It must be a valid California zip code for you to proceed.*

Please be advised that you must be a California resident or an authorized agent of a California resident for us to process your personal information request.
Contact Info:*
Who is Requesting this information?*
Are you a representative of a McLane Xpress Customer? *
Yes   No
Is the visiting site McLane Xpress? *
Yes   No
Agent, please specify the name of the individual for whom you are submitting the request.*
Are you a representative of a McLane Xpress Customer? *
Yes   No
Is the visiting site McLane Xpress? *
Yes   No
Information Requesting:*

NOTE: McLane may request information in response to personal information requests, where necessary, to verify an individual's identity. By submitting this request, you are confirming you are a California resident or an authorized agent of a California resident.