1. Please declare your residency.

If you are an authorized agent submitting on behalf of a consumer, please respond with the consumer's residency information.

Are You Nebraska resident?

Yes No

You must be a resident of Nebraska.

Zip Code * Please Enter ZIP Code

2. Select Requestor Type.

Please select at least one requestor type before proceeding.

2b. Are you an authorized agent?

I am an authorized agent submitting on behalf of another individual

3. Complete this information about the authorized agent submitting this request.

Agent Information

Agent Type *

Name * Name is required.

Email * Email is required.

Confirm Email *

Phone Number * Phone Number is required.

Authorization Document

I have been authorized by the consumer to make this request by:

3. Select the types of request you'd like to make.

Please select at least one request type before proceeding.

Request Type

Please select the type of privacy request you'd like to submit. If you'd like to submit more than one type of request you may submit this form twice.

Right to Know

Select this option if you'd like to know the categories of personal information we have collected about you, the sources from which we collected it, the third parties to whom it was disclosed, and the business purposes for such disclosure.

Data Portability

Select this option if you'd like to obtain access to the data of personal information we've collected about you.

Right to Correct

Select this option if you'd like to correct any inaccurate personal information we have collected about you.

Right to Delete

Select this option if you'd like to have us and our service providers delete the personal information we've collected about you.

Do Not Sell or Share My Info

Select this option if you'd like to prevent the sharing of your information to third parties for value.

This is not an opt out of email communications or telemarketing, which is handled separately, such as by clicking on an “unsubscribe” button in our marketing emails.

Limit Use of Sensitive Data

Limit the use and disclosure of your sensitive personal data for the purpose of inferring characteristics.

To help expedite and personalize this request, please select each of the following ways that the consumer has interacted with our dealership in the past 12 months. Check all that apply.

Called or left or voice message for dealership.

Sent an email to dealership.

Browsed or interacted with dealership's website, online ad, mobile app, or social media page. Excludes completing an online credit application.

Test drove a vehicle.

Financed, leased, or applied for financing or leasing of a vehicle. Includes completing an online credit application.

Purchased a vehicle with cash (no financing).

Repaired or serviced a vehicle.

Obtained a service rental/loaner vehicle.

Purchased over-the-counter parts, merchandise, or other after-market products.

At least one interaction must be selected.

4. Complete the required identification questions about yourself.

First Name * First Name is required.

Last Name * Last Name is required.

Email * Email is required.

Phone Number * Phone Number is required.

Address * Address is required.

City * City is required.

State * State is required.

Data Request

Consumer

Employee or Applicant

Request Type

Right to Know

Data Portability

Right to Correct

Right to Delete

Do Not Sell or Share My Info

Limit Use of Sensitive Data

Thank You.

Cookie & Privacy Preferences

Data Request

Consumer

Employee or Applicant

Request Type

Right to Know

Data Portability

Right to Correct

Right to Delete

Do Not Sell or Share My Info

Limit Use of Sensitive Data

Thank You.

Thank you