First name:

Last name:

Alternative name (s) (including nicknames and prior legal names):

My email address (We prefer to communicate with you about your request by email. If you do not have, or do not wish to provide, an email address, please insert na@na.com in the email address field.)

Please note: If you have not provided an email address above, you must provide either a phone number or mailing address as an alternative way for us to contact you

Phone number, or:

Mailing address:

I am submitting this request for:

Please note: If you are submitting this request for someone else, please provide the person’s: HotWarmColdRedAmberGreen

First name:

Last name:

What is your relationship with the person? (and authorisation):

Please describe the relationship with Aegon Asset Management:

If you selected "Other" from the list above, please explain:

Please select the Aegon Asset Management company that the relationship exists with:

Company name (if applicable):

State of residency:

Please describe your request. For example, do you want to know what categories of information we have about you? Please refer to the California Consumer Privacy Act Disclosure & Statement of Rights for more information about your California privacy rights

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