California Grand Casino Request for Privacy Information, Opt Out or Deletion

PDF of Request Form

CCPA Request

(An email address will speed up communications and is needed for searching records)

Mailing Address

Residential Address if Different:

Residential Address is Different From Mailing Address

Authorized Agent

Are you an authorized agent of the person listed in paragraph 1?

Information Control

In what capacity have you engaged with the Casino (check all that apply)
Please describe the type of personal information you provided us with the services you used and the approximate dates and times. (check all that apply)
I want to (Please check all that apply):

E-signature

Enter Full Name for E-signature
Select date MM slash DD slash YYYY
You may submit this form:

In person at the casino cage
Filling out the same form on our website. https://www.californiagrandcasino.com/ccpa-request-form/
Calling this toll-free number: 855-556-8813
Emailing the form or a request to admin@californiagrandcasino.com
Mailing the form or a Written Request sent First Class Mail to: Attn: Privacy Policy Administrator, 5988 Pacheco Blvd., Pacheco CA 94553