Making a Request – Authorized Agent

PLEASE READ THE FOLLOWING INFORMATION WHEN MAKING A REQUEST TO KNOW OR REQUEST TO DELETE:

As an authorized agent, you are required at minimum to provide the information below to verify the identity of the Consumer. Please note that applicants who did not receive financing from Nationwide (“Applicant”) will not need to provide an account number as there was no account established.

  • Account Number (if the Consumer received financing (“Account Holder”)
  • Full Name
  • Full Address
  • Last 4-digits of the Social Security Number

A Declaration Form signed by Applicant or Account Holder (“Consumer”) under penalty of perjury is required for: a) Requests to Know Specific Information Requests; or b) Deletion Requests.

A Consumer designating an Authorized Agent to act on their behalf must also provide written authorization granting such permission. To verify your authorization to request on behalf of a California resident, please attach copies of the following to your request email:

If you are an entity: California Secretary of State “Entity Details” AND Written permission from the California resident, or Power of Attorney. If you are a third party individual: Written permission from the California resident, or Power of Attorney. For your convenience, you may use our Permission for Authorized Agent Form.

To verify your identity, please attach copies of the following to your request email: Valid Government Issued ID (not expired) AND a Utility Bill, Bank Statement, or similar documentation to verify your name and address.

IMPORTANT: Signature on any form must be the Consumer’s actual signature but may be sent to us by email or facsimile.

Responses will be sent in portable document format (PDF) with security features activated or by mail, depending on your choice of response, and within 45 days of receiving your request. In order to open a response sent via email, a password may be required and will be sent to you in a separate email.

Click Here to proceed to submit email.

Please use the link below to upload required documents.
Maximum 5 files.
2 MB limit.
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