Customer Information Release

If a customer who is authorized on an account at the bank requests that some other individual or entity not authorized on that account be authorized to receive information about the account, an "Authorization to Release Information" must be completed. (Provided, however, the bank in its discretion may decide whether to honor any other authorization that appears to have been appropriately authenticated by the customer.)

This form should be completed for each account needing this type of special authorization.  The bank must verify the identity of the customer authorizing the release of information and the employee and/or officer verifying this information must sign the  "Authorization to Release Information" form.  Click here to print the Authorization to Release Information.