Deletion Request of Personal Information held by TRISTAR
Enter your personal information as the requestor:
Date of Birth (Optional)
How did TRISTAR obtain your information?
Automobile Liability ClaimsDisability ClaimsEmployment ApplicationErgonomic AssessmentFlexible Spending AccountGeneral Liability ServiceHealth & Dental ClaimsLeave of AbsenceWellness Program ParticipantWorkers' Compensation Claims
Employer Name (if applicable)
Requestor's Claim Number or File Number (if applicable)
We reserve the right to contact you for additional information in order to further verify your identity.