California Consumer Privacy Request Form

Last Updated: August 1, 2026 Your Privacy Rights Under California Law California residents have specific rights regarding their personal information under the California Consumer Privacy Act (CCPA), as amended by the California Privacy Rights Act (CPRA). Use this form to exercise those rights. WildCare is committed to protecting your privacy and respecting your rights. Please read this form carefully and complete all required fields. We are required to verify your identity before processing your request.

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Section 1: Your Information

First Name(Required)

Last Name(Required)

Email(Required)

Enter Email Confirm Email

Phone

(optional but helpful for verification):

Country Phone Number

Mailing Address(Required)

(required for verification purposes):

Street Address Address Line 2 City State ZIP Code

Relationship to WildCare

Please select your relationship to WildCare (check all that apply):

Other (please specify):

Additional details that may help us identify your records

(e.g., previous email addresses used, approximate dates of interaction, donation information, volunteer application date):

Confirmation of California Residency:(Required)

I confirm that I am a California resident.

SECTION 2: TYPE OF REQUEST

Please select the privacy right(s) you wish to exercise. You may select more than one option.

A. Right to Know

Request to Know Categories of Personal Information

I request disclosure of the categories of personal information WildCare has collected about me, the categories of sources, the business or commercial purposes for collection, and the categories of third parties with whom the information is shared.

Request to Know Specific Pieces of Personal Information

I request disclosure of the specific pieces of personal information WildCare has collected about me.

B. Right to Delete

Request to Delete Personal Information

I request that WildCare delete the personal information it has collected from me, subject to certain exceptions under California law.

Please note: We may be required to retain certain information to comply with legal obligations (including federal and state tax reporting requirements, charitable solicitation laws, and IRS recordkeeping requirements), complete transactions, detect security incidents, debug functionality, exercise free speech rights, conduct research, or for other lawful internal purposes.

C. Right to Correct

Request to Correct Inaccurate Personal Information

I request that WildCare correct inaccurate personal information it maintains about me.

Please describe the information you believe is inaccurate and provide the correct information:

D. Right to Opt-Out of Sale or Sharing

Opt-Out of Sale of Personal Information

I request that WildCare stop selling my personal information to third parties.

Opt-Out of Sharing of Personal Information for Cross-Context Behavioral Advertising

I request that WildCare stop sharing my personal information with third parties for cross-context behavioral advertising purposes.

Opt-Out of Nonprofit Data Cooperative and Audience Modeling Programs

I request that my information be excluded from WildCare’s participation in nonprofit data cooperatives and audience modeling programs.

Note: You may also exercise this right by clicking the “Do Not Sell or Share My Personal Information” link on our website at www.discoverwildcare.org or by using an opt-out preference signal such as the Global Privacy Control (GPC).

E. Right to Limit Use and Disclosure of Sensitive Personal Information

Limit Use of Sensitive Personal Information

I request that WildCare limit its use and disclosure of my sensitive personal information to only those uses necessary to perform the services or provide the goods I have requested, or as otherwise permitted under California law.

Note: WildCare does not intentionally collect or use sensitive personal information except in limited circumstances where necessary for employment purposes or with your express consent.

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Number

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Confirmation(Required)

Third Choice

SECTION 3: AUTHORIZED AGENT

Are you submitting this request on behalf of another California consumer as an authorized agent?(Required)

No, I am submitting this request for myself.

Yes, I am an authorized agent submitting this request on behalf of another consumer.

Authorized Agent Information

Agent Full Name:(Required)

First Last

Agent Email Address:(Required)

Enter Email Confirm Email

Agent Phone Number:

Country Phone Number

Agent Relationship to Consumer:(Required)

Required Documentation (please attach):

If you are an authorized agent, you must provide: Written authorization signed by the consumer authorizing you to act on their behalf, –or– A valid power of attorney pursuant to California Probate Code sections 4000 to 4465.

Required Documentation:(Required)

Signed written authorization from the consumer

Copy of valid power of attorney

File Upload(Required)

Max. file size: 50 MB.

SECTION 4: IDENTITY VERIFICATION

To protect your privacy and security, we must verify your identity before processing your request. The information we request depends on the type of request and our relationship with you.

We may request additional information or documentation to verify your identity, which may include:

Matching the information you provide with information we already maintain
Confirming details of your prior interactions with WildCare, such as donation history, volunteer participation, or program registration
Signed declaration under penalty of perjury that you are the consumer whose personal information is the subject of the request
Government-issued identification (for certain requests)

Please provide the following to assist with verification:

Date of Birth (month/day/year):(Required)

Previous transaction details or account activity (if applicable):

Preferred Method for Verification Communication:(Required)

Phone

Mail

SECTION 5: RESPONSE DELIVERY PREFERENCE

How would you like to receive our response to your request?(Required)

Email (to the address provided above)

Mail (to the address provided above)

Preferred Format for Data Delivery (for Right to Know requests):

PDF

Spreadsheet (Excel or CSV)

Other

SECTION 6: NON-DISCRIMINATION NOTICE

You have the right not to receive discriminatory treatment for exercising your privacy rights under the CCPA/CPRA.

WildCare will not:

Deny you services
Charge you different prices or rates for services
Provide you a different level or quality of services
Suggest that you may receive a different price, rate, level, or quality of services

We may, however, charge different prices or rates, or provide a different level or quality of services, if that difference is reasonably related to the value provided to you by your personal information.

SECTION 7: RESPONSE TIMELINE

We will acknowledge receipt of your request within 10 business days and will respond to your request within 45 days of receipt. If we require more time (up to an additional 45 days), we will inform you of the reason and extension period in writing.

If we cannot verify your identity or authority to make the request, we will notify you and explain what additional information is required.

SECTION 8: CONTACT INFORMATION

If you have questions about this form or the privacy request process, please contact us:

WildCare
Attn: Privacy Officer
76 Albert Park Lane
San Rafael, CA 94901
Email: privacy@discoverwildcare.org
Phone: (415) 453-1000 (ext. 310)
Online Privacy Policy: https://discoverwildcare.org/privacypolicy

SECTION 9: CERTIFICATION AND SUBMISSION

I certify under penalty of perjury under the laws of the State of California that:

I am the California resident to whom this request relates, or I am the authorized agent of that individual with proper written authorization or power of attorney.
The information I have provided in this form is true, accurate, and complete to the best of my knowledge.
I understand that WildCare may request additional information to verify my identity or authority before processing this request.
I understand that WildCare will respond to my request in accordance with the CCPA/CPRA and applicable regulations.

Signature:(Required)

Date:

Print Name:

SUBMISSION INSTRUCTIONS

Please submit this completed form by one of the following methods:

Email: Send to privacy@discoverwildcare.org with subject line “California Privacy Request”
Mail: Send to:
WildCare
Attn: Privacy Officer
76 Albert Park Lane
San Rafael, CA 94901
Phone: Call (415) 453-1000 (ext. 310) and request to submit a privacy request
Online: Submit here through our secure web portal.

To submit by email or mail, download the printable PDF version of this form: WildCare California Consumer Privacy Request Form (PDF)

Required Attachments (if applicable):

Authorized agent documentation (signed authorization or power of attorney)
Additional identity verification documents (if requested)