This is a starter privacy notice and should be reviewed for your actual business practices before public launch.
The assistance form may collect contact information, address, date of birth, employment status, assistance category, lender or creditor name, approximate balance, payment status, hardship information, and optional last four digits of a Social Security number.
Do not submit passwords, PINs, online-banking credentials, email logins, full card numbers, full account numbers, or full Social Security numbers through the public website form.
Submitted information is intended to help review and respond to assistance requests and connect users with relevant resources.
Before launch, define who can access submissions, how long records are retained, how they are deleted, and what security controls are used.