Member First Name*
Member Last Name*
Email Address (associated with Member's BFSFCU account)*
Re-enter Email Address*
Phone Number*
City*
State*
Country*
Are you a member of BFSFCU?*
Yes
No
If no, please describe your relationship to BFSFCU. If you are making this request as an authorized agent of the Member, please state your full name.
Please select all of the following that apply to your request:
Type of Request:
1) Request to Know
Access my Personal Information
Yes
No
Does your request include household information?
Yes
No
2) Request to Delete Personal Information?
Yes
No
Does your request include household information?
Yes
No
Household Information Requests: [Please fill in only if you checked YES to household information above]
To process this request, we need you to provide the names of those residing in your household.
We will need to verify your identity and (if applicable) the identity of all the members in your household to respond to your request.
If you are an authorized agent for the above referenced Member, we will request a copy of your government issued identification card, and the source of your authority to act on behalf of the Member (e.g., POA, letters of conservatorship, written instructions). Additional details will be provided to you regarding what we need to verify you and your request after your submission of this form.
Thank you for this submission. Someone from the BFSFCU Privacy Team will be in touch with you soon.