Fillable PROOF OF PERMISSION INSTRUCTIONS In order to process (Honda Financial Services)

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PROOF OF PERMISSION INSTRUCTIONS In order to process (Honda Financial Services)

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PROOF OF PERMISSION INSTRUCTIONS
In order to process a California Consumer Protection Request submitted by an individual acting
as an Authorized Agent, we must have written authorization from the consumer giving you
permission to act on their behalf. To provide proof of permission, you may do one of the
following:
1. Fill out the form on page 2 of this document and return to Honda Financial Services
per the instructions on the form.
2. Mail a copy of a Power of Attorney document or other form of written permission to:
AHFC Privacy
1919 Torrance Blvd Suite 8C
Torrance CA, 90501
3. Fax a copy of a Power of Attorney document or other form of written permission to:
310-222-7014
Attn: AHFC Privacy
For faster processing, please include the Reference Number provided when submitting the
request. We will process your request within 45 days of receiving your proof of permission.
Honda Financial Services is a DBA of American Honda Finance Corporation (AHFC)
Date:
AUTHORIZATION TO RELEASE PERSONAL INFORMATION
For the purpose of completing my California Consumer Privacy request, I request and authorize
American Honda Finance Corporation to release my information by mail or email to:
Name: ________________________________________________________________________
Email Address: ________________________________________________________________
Mailing Address: ______________________________________________________________
City: ________________________ State: _________________ Zip Code: _______________
I authorize the release of my account information, to the person(s) listed above. This
authorization will be in effect until it is revoked by me.
Account Holder Name: __________________________________________________________
Account Holder Signature: ____________________________________ Date:_____________
California Consumer Privacy Request Number (if known):_______________________________
Account Number (if applicable): ___________________________________________________
Honda or Acura Care Contract Number (if applicable): _________________________________
Product Serial Number (if applicable): ______________________________________________
17 digit VIN (if applicable): ______________________________________________________
Please send your completed form by mail or fax:
Mail to:
AHFC Privacy
1919 Torrance Blvd. Suite 8C
Torrance CA, 90501
Fax to:
310-222-7014
Attn: AHFC Privacy
Honda Financial Services is a DBA of American Honda Finance Corporation (AHFC)
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PROOF OF PERMISSION INSTRUCTIONS In order to process (Honda Financial Services)

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Completed 15 January 2021

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