Privacy - Model Form

Margaret A. Maddux, of the West End Bank, S.B. is sharing one of the tools with us that she uses to make instant compliance a little easier. This is for those times you need to print a Privacy Notice. Note that there are two verions for those with and without an opt-out provision. (PDF versions are also available for reference.)

On Dec. 1, 2009 the regulatory agencies released 202 pages explaining the model privacy forms.Margaret copied the forms with the actual verbiage from the sample forms from Appendix A to Part 216 A.

To use the tool, simply edit the verbiage in magenta to suit the requirement of your institution (where possible, Margaret listed the choices offered in Appendix A Form S-P B).In addition, there are a few sections your institution is permitted to omit; and you may remove them as needed (for instance, if the notice is not being provided jointly with other institutions the section titled "Who we are" may be removed). Margaret advises using this tool in conjunction with the directions outlined in Appendix A to Part 216 B to ensure compliance.

Please note that on March 3, 2010 page two of each form was updated to change the first section header line from "What we do" to "Who we are." We apologize for any inconvenience.