This form cannot be completed online. This page shows fillable fields for illustrative purposes only, to match the printer-friendly version. If you wish to complete the form, please print, complete and submit the printer friendly version (PDF) as directed.
IMPORTANT PRIVACY CHOICES FOR CONSUMERS
You have the right to control whether we share some of your personal information. Please read the following information carefully before you make your choices below.
We are required by the California Financial Information Privacy Act to provide this notice to you annually. We will also send you an additional notice each year that tells you about your privacy rights under federal law.
This Privacy Notice applies to the JPMorgan Chase & Co. family of companies.
You have the following rights to restrict the sharing of personal and financial information with our affiliates (companies we own or control) and outside companies that we do business with. Nothing in this form prohibits the sharing of information necessary for us to follow the law, as permitted by law, or to give you the best service on your accounts with us. This includes sending you information about some other products or services.
Restrict Information Sharing With Companies We Own or Control (Affiliates): Unless you say "No," we may share personal and financial information about you with our affiliated companies.
[ ] NO, please do not share personal and financial information with your affiliated companies.
Restrict Information Sharing With Other Companies We Do Business With To Provide Financial Products And Services: Unless you say "No," we may share personal and financial information about you with outside companies we contract with to provide financial products and services.
[ ] NO, please do not share personal and financial information with outside companies you contract with to provide financial products and services.
TIME SENSITIVE REPLY
You may make your privacy choice(s) at any time. Your choice(s) will remain unless you state otherwise. However, if we do not hear from you we may share some of your information with affiliated companies and other companies with whom we have contracts to provide products and services.
To exercise your choices do one of the following:
- Call 1-888-868-8618 - our menu will prompt you through your choice(s). We accept operator relay calls.
- You may submit them online if you are a Chase customer.
- You may fill out, sign and send back this form to us in the attached envelope.
- Detach at the dotted lines and fold in half. Place a stamp on the outside where indicated, seal (do not staple) and mail. (You may want to make a copy for your records).
Please note that in order for us to process your request, the address you provide below must be a California address you've given to us in relation to your account
Note: Do not use the attached envelope for credit card or mortgage payments, deposit items or other banking requests