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Model privacy forms

Download English versions of Regulation P model forms.

Note: An online form builder can be accessed on the main GLBA page under additional materials.

Description Action

Model form with no opt-out

Download PDF - Page 1
Download PDF - Page 2

Model form with no opt-out by telephone and/or online

Download PDF - Page 1
Download PDF - Page 2

Model form with mail-in out-out form

Download PDF - Page 1
Download PDF - Page 2

Optional mail-in form for opt-out

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