2004-P07119 - new structure - Laserfiche WebLink

Home Browse Search

Sec.13.04 RIGHTS OFSUBJECTS OFDATA Subdivrsion/. Type ojdat� The righls of individual on whom the data is stored or to be stored shall be as set jorth in this section. � Subd.2. Injorma[ion required to be given individuaL An individua!asked to supply private or confidentra!data concerning himself shal!be injormed of.• (a)the purpose and inrended use of the requesled data within the collecting slate agency,politrcal subdrvision,or s�atewide . sys�em;(bJ whether he may refuse or is/ega[ly required to supply the requested data;(cJ arry knotivn consequence arising from his supplying or refusingla supply prrvate or conftdential data;ond(d)the idenlity ojothe�persons or enlities authorized by s[a1e orjedera!law�o receive�he data. This requirement shall not apply when an indrvrdua/is asked to supply investigative data,pursuan!to section 13.82, subdivrsion S, fo a law enjorcement o�cer. The commissioner of revenue mav place 1he notice reouired under lhis subdivision rn fhe indrvrdua[income�ax or pronertv tax relund instruc�ions insread of on lhose forms. Subd.3.Access to data by IndividuaL Upon requesl to a responsible au�horiry,an individualsha!l be informed whe�her he is!he subjecl of sto�ed dala on individuals,and whether il is classifred as public,private or conftdenlial. Upon his furfher request,an individual who is the subject oj'stqred private or public dafa on individua/s sha!!be shown the dala without a�ry charge lo him and,if he desires,shaf!be informed of !he content and meoning ojthat dala. After an individua!has been shown the prrvnte data ond informed of its meaning,the data need not be disclosed to him jor srx monlhs lhereafter unless a drspute or action pursuant lo lhis section rs pending or addilional dala on the individua!has 6een collected or created. The responsible aulhority shnll provide copies ojthe private or public dala upon request by the rndividua[subject of !he da�a. The responsrble aulhority may requi�e the requestrxg person to pay the aclua/cosls of making,cerlifying,and compiling the capies. The�esponsrble authority sha!/comply immedralely,rf possible,with arry requesl made pursuant to lhis subdivrsion,or within five days ojthe dale ojthe requesl,excludixg Sa�urdays,Sundays and legol holidays,if immediate compliance is not possrble. IJhe cannot comply ivith!he requesJ ivilhin that time,he sha11 so inform the individual,and may have nn addi�ionalfive days�vithrn which�o comply wi�h the request,excluding Saturdays,Sundays and legal holidays. Subd.4. Procedure when Aata is notaccurate or complct�An individual may contesr�he accuracy or completeness oJpublrc or private dala concerning hrmself. To exercise lhis right, an individual shall nol�in wrifing the responsible authority describing the nature of the disagreemenf. The resporrsible authority shal!within 30 days either: (a)correcl the dala found 10 be inaccu�ate o�rncomplete and a[tempt�o not� past�ecipients ojinaccura�e or incomplete data,includi»g recipienls named by�he rndividual;or(bJ not�the individual that he believes the data to be correcl. Data in dispu�e shall be disclosed only rf lhe lndividual's sta�ement of disagreemenl is included with the disclosed data. 77re determination of the responsible aulhoriry may be appealed pursuanl lo�he provrsions of the adminislrative procedure act relating to con�ested cases. DATA PRIVACYAD[�ISORY In accordance with M.S.13.04,Subd.2,'Righls oJsubjects oJdala';we woufdlrke to informyoulhatyourrequestforapermit orlicense from the City ojOrono or any oJits depar�menls may require you to furnish certarn private or confidential information. You are notified tha�: 1. The injormation youJurnish wi/!be used fo determine your qualifrcalion for�he permit or license requesled. 2. You may reJuse to supply da�a,but rejusal mcry require lhat the City deny the permi!or licerrse. 3. The injormation may be shared with o�her local,sta�e or jederal agencies to lhe extenf necessary!o process the permrt or license. 4. If your requested permit or license�equires Councrl action lo approve,some rnformalion may become public. 5. You have certain rights under M.S. /3.04(see jollowing page)to revieiv privale dala on yourself. 6. Your fu!!name is required to process this application or permit. PLEASE PRlNT c�;a ��.��;a, �.Pc.p,..�,. First Middle Last 103�o nl1��e.�� L31.� , Address V•�a�'1�2�� - 1^/1t-� SS J ► � �qS`�-� �13�S43S Ciry Srare Zip Phone I un ers� my rig as sta�ed bov . � �.-��,D.� . Sigrrarure /0