Personal Information Access -- Inquiry Form

Under the law, you (as a parent or legal guardian of your child) have the right to review any personal information relating to a child under the age of 13 in your care that may be collected by the First National Banking Company  website. Please check any or all of the options below:

____ I wish to review all of the personal information currently collected on my child by First National Banking Company .

____ I request that all personal information currently collected on my child at www.fnbc.us be deleted.

____ I request that, in the future, all personal information regarding my child no longer be collected or used by First National Banking Company .

To help us identify the child in question in our database, please fill out the following:

Child's Email Address: 

______________________________________________________________________

Parent's Email address: 

______________________________________________________________________

Under the law, we are obligated to verify the identity of the requester of this information and to ensure that the requester is in fact the child's parent or legal guardian. To help us discharge this responsibility, please fill out the following:

Please state your relationship to the child:

______________________________________________________________________

Please state your name:

______________________________________________________________________

Signature:

______________________________________________________________________

Date:

______________________________

Please print and send this form to: 

Internet Branch Manager
First National Banking Company 
P.O. Box 8; Ash Flat, AR 72513. 

Alternatively you may fax it to 870-257-1890 to the attention of the Internet Branch Manager.