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PROB 48I (Rev. 11/13)CUSTOMER CONSENT AND AUTHORIZATION FOR ACCESS TO FINANCIAL RECORDS DURING SUPERVISION I, having read the explanation (Name of Customer)of my rights which is attached to this form,

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How to fill out customer consent and authorization

01

Obtain the customer's full name and contact information.

02

Clearly outline the purpose of the consent and authorization form.

03

Provide detailed information about how the customer's data will be used and stored.

04

Have the customer sign and date the form to indicate their agreement.

05

Keep a copy of the signed form for your records.

Who needs customer consent and authorization?

01

Banks and financial institutions

02

Healthcare providers

03

Insurance companies

04

Telecommunications companies

05

Any business that collects and uses customer data

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What is customer consent and authorization?

Customer consent and authorization is when a customer gives permission for a company to use their personal information for specific purposes.

Who is required to file customer consent and authorization?

Any company that collects and uses customer data is required to file customer consent and authorization.

How to fill out customer consent and authorization?

Customer consent and authorization can be filled out by providing the necessary information about the customer and the specific purposes for which their data will be used.

What is the purpose of customer consent and authorization?

The purpose of customer consent and authorization is to ensure that customers are aware of and agree to how their personal information will be used by the company.

What information must be reported on customer consent and authorization?

Customer consent and authorization must include details about the customer, the data being used, the purposes for which it will be used, and any third parties that may have access to the data.

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