Important Privacy Choices for Consumers

You have the right to control whether we can share some of your personal information. 
Please read the following information carefully before you make your choices below.

Your Rights
You have the following rights to restrict the sharing of personal and financial information with insurance entities that we do business with.  Nothing in this form prohibits the sharing of information necessary for us to follow the law, as permitted by law, or to give you the best service on your accounts with us.  This includes sending you information about other Guaranty products or services.

Your Choices
Restrict Information Sharing with Insurance Entities:  Unless you say “No”, we may share your information with other insurance entities to obtain competing quotes and provide you with better coverage or pricing.

(___)  NO, please do not share my information with other insurance entities to obtain competing quotes.

Time Sensitive Reply
You may make your privacy choice at any time.  Your choice marked here will remain unless you state otherwise.  However, if we do not hear from you within 30 days, we may share some of your information with companies and other insurance entities with which we have contracts to obtain competing quotes on your behalf.

To exercise your choice of not sharing your information for the purposes of quoting your policy with other carriers; complete, sign, and return this form to the following:

Guaranty Insurance Services Inc.
Attn: Privacy Coordinator
2301 West Plano Parkway, Suite 108
Plano, TX 75075-8428

You may want to make a copy of this completed form for your records.

Instead of mail; you may fax (866) 652-9394 or call (800) 423-3595 toll-free and ask to speak with the Privacy Coordinator.

Name: 
Account or Policy Number(s):
(to be filled in by consumer)

Current Address:


Signature: