California Consumer Request Form

Only residents of California can submit a California Consumer Request Form at this time. Please contact us if you have any questions: (844) 474-8372.

Please provide your contact information:

Are you submitting on behalf of someone?^*

If you are submitting this request on behalf of a California consumer, please provide the following information. We may reach out to request proof of authorization.

Please indicate your (or the consumer’s) relationship with Brighthouse Financial^*:

I would like to submit a request to^*:

Preferred method of delivery and contact^*:

Please remember Brighthouse Financial will be unable to fufill certain requests, as provided for in the CCPA.

By submitting this form, I confirm that I have read and understood the terms of this Consumer Request Form. I certify that I am the consumer named in this form, or have authorization to submit this form on behalf of the named consumer, and the information provided to Brighthouse Financial is true and correct. I understand that it is necessary for Brighthouse Financial to confirm my identity and it may be necessary to obtain more detailed information in order to locate the correct personal information.

Please indicate your relationship with Brighthouse Financial^*:

I would like to submit a request to^*:

Preferred method of delivery and contact^*:

Please remember Brighthouse Financial will be unable to fufill certain requests, as provided for in the CCPA.

By submitting this form, I confirm that I have read and understood the terms of this Consumer Request Form. I certify that I am the consumer named in this form, or have authorization to submit this form on behalf of the named consumer, and the information provided to Brighthouse Financial is true and correct. I understand that it is necessary for Brighthouse Financial to confirm my identity and it may be necessary to obtain more detailed information in order to locate the correct personal information.