California Consumer Privacy Act Entry Form

(for use by California residents only)

Please complete the form to submit your request. Once we have verified your identity and request, we
will provide an email response within 45 days of our request.

If we require more time to respond, we may take up to 90 days from the date of the request. If this
occurs, we will notify you of the delay.

Our response will cover the 12-month period preceding our receipt of your request, or we will explain
why we cannot comply with all or part of the request.

First Name

Last Name

Address Line 1

Address Line 2

City

State

ZIP

Email Address

Phone Number

Type of Request Request Information Opt-Out of Sharing Delete Information

Stride Bank Service or Product Prepaid Card Deposit Account