Patriot Act Cip Form PDF Details

Since the terrorist attacks on September 11, 2001, the United States government has been enacting a variety of policies and regulations in an effort to increase national security. One such policy is the Patriot Act, which was passed shortly after the attacks. The Patriot Act contains a number of provisions that allow for increased government surveillance and data collection. As part of the act, individuals and businesses are required to submit CIP (Critical Infrastructure Protection) forms to provide information about their operations and Cyber Security status. This blog post will provide an overview of the Patriot Act CIP form, including what information is required and why it is important.

Listed here, you'll find a number of information about patriot act cip form PDF. This page will give you information about the form's size, completion duration, and the fields you are needed to fill.

Form NamePatriot Act Cip Form
Form Length2 pages
Fillable fields0
Avg. time to fill out30 sec
Other namesverification, laundering, implementing, CIP

Form Preview Example

CIP Patriot Act Disclosure Form



To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify and record information that identifies each person who opens a mortgage loan account.

What this means to you: When you open a mortgage loan account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents.

The information being requested and observed is for compliance with the requirements of Section 326 of the USA Patriot Act implementing customer identification and verification requirements. The information in no way will be used in making the credit decision on your completed application.

This disclosure was reviewed with applicant by:

Face-to-to face interview

By Mail

By Telephone

Via Internet


Loan Officer Signature


Loan Officer Name (print)


Date of Signature

III. Forms

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Document # 3244




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