The following withdrawal of consent form provides you with an opportunity to limit the uses and disclosures of your personal information should you choose to do so. You may limit or withdraw your consent at any time, subject to legal or contractual obligations.

For example, your credit union is required by law to provide a record of your interest income on accounts to the Canada Customs and Revenue Agency, so you may not withdraw consent to the use of your Social Insurance Number for that purposes.

To withdraw your consent, print and fill out this form send it in to the City Plus Credit Union.