Personal Information Request Form

FIll out the following to inquire about personal information or correct or delete that information.

*All Fields are Required

Contact Info:*
Who is Requesting this information?*
Are you a representative of a McLane Xpress Customer? *
Yes   No
Is the visiting site McLane Xpress? *
Yes   No
Agent, please specify the name of the individual for whom you are submitting the request.*
Are you a representative of a McLane Xpress Customer? *
Yes   No
Is the visiting site McLane Xpress? *
Yes   No
Information Requesting:*

NOTE: McLane may request information in response to personal information requests, where necessary, to verify an individual's identity.