Northwestern Mutual Workforce Intake Form

At Northwestern Mutual, the privacy and security of your personal information is important to us. To learn more about how your personal information is collected, used, and disclosed, please review our privacy notices.

Please complete the following form below if you would like to either submit a privacy request for yourself, or if you are an authorized person and would like to submit on behalf of someone else. The information provided will be used to verify your right to make this request and to respond to your request.

If you have any questions about this form, call (414) 661-0045, Mon — Fri, between 7am and 6pm CST.

For California Residents Only.

Fields marked with an asterisks (*) are required

I am submitting this request

Required

Select your Request Type

Required

Please indicate your status for this request

Required

First Name

Enter first name here

Middle Name

Enter middle name here

Last Name

Enter last name here

Suffix

Enter a suffix here, if applicable

Address Line 1

Address Line 2

City

Enter city

State

Select your state

Zip Code

Enter five-digit zip code

Please communicate the response to my data request by:

Required

Date of Birth

*Only upload verification if you are authorized to act on behalf of the individual. If the required document is not uploaded with this request, it will be denied. You can submit a future request with the necessary documentation or the individual can submit a verifiable request for themself.