By submitting this request, I am confirming the following:

(1) Accuracy: The information I have provided is true and accurate, and I am authorised to request this data; (2) TrustArc role: I understand the service is provided by TrustArc on behalf of Assurant and that once TrustArc provides my request to Assurant, TrustArc will retain an encrypted record of my request; (3) Privacy: I understand my information shall be handled by TrustArc in accordance with its Privacy Policy and by Assurant in accordance with the privacy policy referenced in the relevant product Terms & Conditions or website of the product and/or service which I have purchased or obtained; and (4) Contact: Assurant has permission to contact me to verify my identify and to process my request.