32 CFR Part 275, Appendix M to Part 275 - Format for Certificate of Compliance With the Right to Financial Privacy Act of 1978

View PDF at GPO Pt. 275, App. M
Appendix M to Part 275—Format for Certificate of Compliance With the Right to Financial Privacy Act of 1978
[Official Letterhead]
[Date]
Mr./Mrs. XXXXXXXXX
Manager
Army Federal Credit Union
Fort Anywhere, VA 00000-0000
Dear Mr./Mrs. XXXXXXXXX
I certify, pursuant to section 3403(b) of the Right to Financial Privacy Act of 1978, 12 U.S.C. 3401 et. seq., that the applicable provisions of that statute have been complied with as to the [Customer's authorization, administrative subpoena or summons, search warrant, judicial subpoena, formal written request, emergency access, as applicable] presented on [date], for the following financial records of [customer's name]:
[Describe the specific records]
Pursuant to section 3417(c) of the Right to Financial Privacy Act of 1978, good faith reliance upon this certificate relieves your institution and its employees and agents of any possible liability to the customer in connection with the disclosure of these financial records.
[Official Signature Block]

Title 32 published on 2013-07-01

no entries appear in the Federal Register after this date.