CCPA Request Form

California Consumer Privacy Act Request Form

If you are a California consumer and would like to exercise a right under the CCPA, please fill out and submit this form:

1) How do you want us to respond to your request?

Postal Mail

2) What is the current relationship of the person to Eastern Bank that this request is about?

If other, please explain:

3) Request Type? *

4) Required information about the person that this request relates to:

First Name *

Last Name *

Email *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Phone Number *

5) Are you making this request on behalf of another person?

Yes

6) If yes to question #5, what is your relationship to this person?

If other, please explain:

7) Required Contact Information for Power of Attorney or Authorized Representative:

First Name

Last Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Phone Number