CCPA Request Form

Purpose of Request(Required)

Disclose categories of personal information collected about me

Disclose specific personal information collected about me

Correct inaccurate personal information about me

Delete personal information about me

Full Name(Required)

First Last

Current Mailing or Physical Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Customer and Insurance correspondence should only be sent to Flagship Credit Acceptance via the addresses listed in our Payment Center or electronically on our Contact page.

Flagship Credit Acceptance LLC is posting the following regulatory licenses as required by state law or regulations:

Flagship holds Michigan Regulatory Loan License #RL0020187, effective February 9, 2016. This license was issued by the Department of Insurance and Financial Services who can be contacted at 530 W. Allegan Street, 7th Floor, Lansing, MI 48933 or via telephone at (517) 284-8800. DO NOT SEND CORRESPONDENCE OR PAYMENTS INTENDED FOR FLAGSHIP TO THIS LOCATION.

CCPA Request Form

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