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1 S. Wacker, Suite 2200, Chicago, IL 60606
312-436-1170
contact@blueriverpetcare.com
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California Consumer Privacy Act
Under the California Consumer Privacy Act (CCPA), California residents are entitled to make certain requests regarding the personal information that Blue River PetCare collects, uses, or shares about them. Please review our Privacy Policy for further information on what information we collect and why we collect it.
If you are a California resident or the authorized agent of a California resident and would like to submit a request under CCPA, please complete the below form. Please submit a separate request on behalf of each California consumer. We ask that you provide this information so that we can verify your identity and respond to your request.
I am a(n):
California Resident / Consumer requesting information about myself or a member of my household.
Authorized Agent requesting information about a California Resident / Consumer
Authorized Agent Name
*
First
Last
Authorized Agent Email
*
Please upload:
• the consumer’s power of attorney authorizing the authorized agent to act on behalf of the consumer OR the consumer’s written authorization permitting the authorized agent to make the request.
Drop files here or
Consumer’s Name
*
First
Last
Any other name(s)
First
Last
Consumer’s Email
*
Consumer’s Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Consumer’s Phone Number
*
Pet's Name
*
Date of last visit or appointment
Date Format: MM slash DD slash YYYY
I am requesting the following
*
ACCESS to the categories of personal information the Company has collected, the categories of sources from which personal information was collected, the business or commercial purpose for collecting my personal information, and the categories of third parties with whom the Company shares my personal information.
ACCESS to specific pieces of personal information the Company has collected about me.
DELETION of the personal information that the Company has collected.
The specific pieces of personal information I am requesting are as follows:
Consent
*
By checking this box, under penalty of perjury, I declare the above information is true, correct and that I am the consumer who is the subject of the request or have been authorized by that consumer to act on his/her behalf, as indicated above. I understand that it may be necessary for Company to verify the identity of the consumer and/or authorized agent for this request, and that additional information may be requested for this purpose.
Δ
Our Difference
Our Difference
Clinical Development
About Us
About Us
Our Team
Locations
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Community
Testimonials
Practice Owners
Practice Owners
Our Process
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Request A Valuation
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Careers
Veterinary Careers
Blue River Careers
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