Identity-Release® Program Requests

Privacy Policy

Donor-conceived adults interested in requesting their donor's identity should complete the form below. Donors in the Identity-Release® Program agree to provide the following information about themselves:

Name
Date & place of birth
Last known contact information

When TSBC contacts donors to prepare for information-releases, they are given the option to provide updated information, including their willingness to being contacted by donor-conceived adults. Please consider the possibility that:

some but not all donors provide updated information
some but not all donors are open to being contacted

After we receive your initial request form, we will match it with our records. Then Executive Director, Alice Ruby, will contact you to explain the process, answer your questions, and send you the necessary request forms. You may also email or call her at 510.841.1858 ext. 204.

Your Contact Info

First Name *

Last Name *

Pronouns

Street Address

City

State

Zipcode

Email *

Phone

Additional Information

Your Date of Birth

Month

Day

Year

Donor Number

Your Family's Information

Birth Parent's First Name *

Birth Parent's Last Name *

First Name of Additional Parent on File

Last Name of Additional Parent on File

Parental Street Address

City

State

Zip Code

Parental Email

Parental Phone

Sibling* 1 First & Last Name

*List siblings in your own family, not people who share your donor but were raised by other parents.

Sibling 1 Date of Birth

Month

Day

Year

Sibling 1 Donor's Number

Sibling 2 First & Last Name

Sibling 2 Date of Birth

Month

Day

Year

Sibling 2 Donor's Number

Do you have any other siblings?

Yes

Comments

We will be in contact soon. If you don't hear from us within 2 weeks, please call 510-841-1858, ext. 204.

Thank you for your interest!

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