Confidential Resume Submitted To The Commissioner Of Business Oversight (Page 2 of 3) in pdf

STATE OF CALIFORNIA–DEPARTMENT OF BUSINESS OVERSIGHT

CONFIDENTIAL RESUME SUBMITTED TO THE COMMISSIONER OF BUSINESS

OVERSIGHT, STATE OF CALIFORNIA

DBO-3 (Rev. 5-16) Page 2 of 3

Notice to Individuals – Use of Information

The Commissioner of Business Oversight (the "Commissioner") is authorized by the Financial

Code to gather and maintain the information requested in the form you have accessed. If the

form is submitted in connection with any application or other matter before the Commissioner,

the requested information is deemed necessary to process that application or other matter

pursuant to the Financial Code. If the requested information is not accurately and completely

provided, the application may be denied, or the other matter may be resolved against your

interests.

If the form requests you to provide your social security account number, please be advised that

providing your social security account number is voluntary. Your social security account

number will be used as an identifier, and may be used to verify information provided to the

Department of Business Oversight (the "Department"). Failure to provide your social security

number may require the Department to use other methods to verify information, which may

cause delays in processing this information and any related application or other matter. If the

information you have provided to the Department cannot be verified, the Department may reject

your filing and deny any related application or cause any other matter to be resolved against

your interests. In addition, the Commissioner may request additional information or clarification

of submitted information.

You may be required to provide your fingerprints in conjunction with submitting your personal

information. If your fingerprints are required, the Department will provide you with the

necessary instructions and, if applicable, the forms upon which your fingerprints may be

submitted.

In processing the information you provide, the Department may cause a consumer credit report

to be prepared in accordance with the provisions of Title 1.6, Part 4, Division Third of the Civil

Code (commencing at Section 1785.1), or an investigative consumer report to be prepared in

accordance with the provisions of Title 1.6A, Part 4, Division Third of the Civil Code

(commencing at Section 1786), or the respective successor statutes.

The information you provide the Department will be held in confidence as required by the

Information Practices Act (Civil Code Section 1798, et seq.). The Information Practices Act

provides that the Department may share the information you provide with the Department of

Insurance, the Department’s Division of Corporations, other federal and state financial

institution regulators, law enforcement agencies, or any other governmental entity if the

disclosure is required under state or federal law. In addition, the Department may share the

information you provide with any such agency if the disclosure assists the agency in discharging

its duties.

Each individual has the right to review information maintained by the Department regarding

him or herself, unless access to some or all of the information is exempt from disclosure by

law. The official responsible for maintaining information gathered by the Department is as

follows:

or all matters relating to credit unions:

Confidential Resume Submitted To The Commissioner Of Business Oversight Page 2