Laserfiche WebLink
• 07/1Z/20E12 07:29 G12-5020574 WHEELIS SECURITY PAGE 03 <br /> Jul-13-2002 09:20am From-CITY OF ORONO +1622404818 T-838 P.003/003 F-95? <br /> See,13.O4 RIGHTS OF SUBJECTS O9'DATA <br /> Subd. 1. Type or data_ The righu of Individual on whom the data is scored or to be stored well be as set forth In this section. <br /> Subd.I. Informetioa required to be given individual. An individual asked to woply private or confidential data ooaoorniag huaself shall <br /> be ipfornhed of; (a)the purpose and intended use of the ragoetted dela Within the colkctittg trate agency, pen tai subdivisioo.or statewide system <br /> ;b)whether he may refuse or is legally required to supply the requested data:Co.)any blown consequence arising from his stupplying or refusing to sapply <br /> private or confidential data and(d)the idenmy of ether persons or entices authotixed by stale or federal law to receive the dxta. This requiremont shill <br /> not apply when an individual is asked to sapply Uwesegadve data.pursuant to section 1312, subdivision S. to a law enforcement officer.' <br /> The cornmiea one f of rends n]av Duces the nonce rocattred under s _ANivlSbn in the individue iscpzugg.tar oreecnv_tax refund <br /> instructions instead of og dinselstmrtts. <br /> Subd.3. Access to data by individual. Upon request to a itsponsibe authority,art individual shill be informed whether ho is rho subject <br /> of stored data on lydivlduals,and whether it is classified as public,prltate or con(4cnlia,. Upon Isis further request,an tndtvldual who is the subject <br /> of stored private or public data on Individuals shall be shown the acts without any charge to hint and.'if he desires,shall be informed of the contour <br /> and miming of that data. After an individual has been shown the prime data and informed of its meaning,the data need sot be disclosed to him for <br /> alt months thereafter unless a disputa or acnon pursuant to this section is pending or additional data on the individual has been collected or created. <br /> The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority <br /> may require the requesting person to pay the actual costs of making.ccreifying.sad compiling the copies. <br /> The responsible authority shall comply immediately,if possible, with any request made pursuant to this subdivision,or within five days of <br /> the data of the request,excluding Saturdays.Sundays and legal holidays.if immediate compliance is riot possible. tf be cannot comply whh the mull; <br /> withut that time, he shall so hsform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, <br /> Sundays and legal holldayl. <br /> Subd.4. Procedure when data is not eccurote or complete. An individual may eontest the accuracy or completeness of public orprivale <br /> data concerning himself. To exercise this right,an individual shall notfy in writing the responsible authority describing the mate of the disagreenseer. <br /> The responsible authority shell within 30 days either: (a)correct the data found to be inaccurate or incomplete and stumps to notify pear recipients of <br /> inaccurate or Incomplete data,including acipicnta named by the indiviCual;or(b)monis the individual that he believes the data to be correct. Data <br /> rr dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The deunnieadon of the responsible auOhoRty may be appealed pursuant to the provisions of tJte adtrunisrramro procedure act relating to <br /> contested ootids. <br /> DADA PRIVACY ADVJSQRY <br /> In accordance with M.S. 13.04, Subd. 2. "Rights of iubjecta of data", we would like to inform you that your request <br /> for a permit or license from the City of Orono or any of its departments may require you to fumiab certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you furnish will be used to determine your qualification for the permit or license requested. <br /> 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. <br /> 3. The information may be shared with other local, state or federal agencies to the extent necessary to process <br /> the permit or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> 5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> o. Your full name is required to process this application or permit. <br /> M 21 <br /> First Middle Last <br /> -fa s( rcl RUG r)•E. _ .MMO <br /> Address <br /> _ i0 _ Mn +3a 762.3 •dea o I <br /> City State Zip phone <br /> understand my rights as stated above. <br /> ti <br /> Signeare <br />