CCPA Request WebForm

Please complete and submit the form below, indicate which right you wish to execute and our data protection team will respond as soon as they are able to.

Any use of your personal data will take place in compliance with the relevant and applicable data privacy laws and the LyondellBasell Privacy Statement.

First Name *

Last Name *

Email Address: *

Confirmation Email Address: *

What is your State of residence? *

What type of request are you making? *

Request to Know Categories of Personal Information

Request to Know Specific Pieces of Information

Request to Delete

Please read and select the applicable option below:

I declare under penalty of perjury that I am the individual consumer whose personal information is the subject of the request.

I declare under penalty of perjury that I am the Authorized Agent of the individual whose personal information is the subject of the request. I understand I will be required to provide proof in writing of my status as the individuals Authorized Agent and additional information to confirm my identity.