CCPA Request Submission Form

If you are a California resident, you have certain rights under the California Consumer Privacy Act (“CCPA”). Please use this form to submit a CCPA-related consumer request relating to any of your personal information held by PetVet Care Centers (“PetVet”, “we”, “our”, “us”)

Note that PetVet reserves the right to refuse requests, in part or in whole, to the extent permitted by law, if we are unable to verify your identity, or if we cannot verify your authority to act on behalf of another person. For certain requests, we may ask for additional information or documentation to verify your identity and/or authority to act on behalf of the consumer who is the subject of the request.

For additional information about the CCPA and your rights thereunder, please visit our Privacy Policy here.

Consumer information

First Name *

Middle Name

Last Name *

Date of Birth *

Email *

Phone *

Address *

City *

State *

Zip *

Authority to Submit Consumer Request

File Upload: Authorized Agent Designation Form (click on the link below to browse and upload):

Specify Request(s)

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CCPA Request Form | Aptos-Creekside Pet Hospital