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Sec.13.0�F RIGFiTS OF SUBJEC'fS OF DATA Subd. 1. Typc of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information rcyuired to be given individual. An individual asked to supply pnvate or confid�ntial data conceming himself shall be infonned oE (a)the pu�pose and intended use of the requested daW within the collectin�s4�le a�rency,political subdivision,or statewide system;(b) whcthcr he may refuse or is legally required to supply the requested dati;(c)any knorni con�equence arisino from his supplying or refusing to supply priv�te or confidential data;and(d)the identiq�of other pe�rsons or entities authorized by state or federa(law to receive the data. This raquirement shall not apply when an individual is asked lo supply investigative data,pin�suant to section 13.82,subdivision 5,to a law enforcement o�cer. The commissioner of revenue mav place the n�tice r�uired under this subdivision in the individual income tar or rn�o�ertv ta+c refund instructions inste�d of on those fonns. - Subd.3. Access to data by individuaL Upon request to a responsible authoriry,an individual shall be inFonned whether he is the subject of slored dnta or,individuals,and whetlier it is classitied as public,private or confidentiaL Upon his further raquest,an individull who is the subject of slored priv�te or public data on individu<ils shall be shown the data�vitl7out any charge to him and,if he de�ire�,shall be infonned of the content and meanin,of that data. After�n individual has been shown thc private data and infonned ot'its meaning,the data need not be disclosed to him for six months thereafter unless a disput�or action pursuant to this section i�paniiing or additional data on the individual has been collected or created. Tl�e responsible authority shall provide copies ofthe private or public data uponrequest by the individual subjecf ol the data. The responsible autho�ity may require the requestin�person to pay the aetual costs of mnking,ceitifying and compiling the copi�s. The responsibleauthority shali comply iinmediately,ifpossible,wid�any request madepursuant to this subdivision,orwithin fivedays ofdie date of the rzquest,excluding Sahu�days,Sundays and legal holidays,if immedinte compliance is not possibla. If he canno[comply with the request u�ithin that time,he shall so inforni[he individual,and may have an additional iive days�vifliin�+�hich to comply with the request,excfuding Saturdays, Sund.iys and legal holidays. Subd.4. Procedura evheu data is not accurate oi�complete. An individual may contest the aeeuracy or completeness ofpublic or piivata data conccmin�himself. To exerci�e this right,an individual shall notify in�vritina the responsible authority describin�the nature of the disae�eemen(. The responsible�uthority shall within 30 days either: (a)con�ct the data found to be inlecunta or incompleta and attempt to notify�ast recipients of inaccurate or incomplete dat3,ineluding i�ecipients named by thz individual;or(b)notify the individu�l that he believcs the data to bc con�ect. Data in di;putc shall be disclos�d only if Lhe individual's statement of disagreem�nt is included with the discloseil data. The detern�iontion of the responsible nuthority may be,ippealed pw�suaut to(he provisions of th�administrative procedure act relating to contesteil cases. �ATA PRiVACY ADVIS012Y In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",�ve would lilce to infoml you that your request for a perniit or license iiom the Ciry of Orono �>r any of its departinents may i•equire you to fiirnish certain pi�ivate or confidential infoi-matioil. Yoti are notified tllat: 1. Tlie infonnaCion you fi�rnisl; will be l�sed to determine your qlialification for the pennit or license requested. 2. You may iefuse to supply data,btit refiisal n�ay reqliire t}iat the City deiiy the perrnit or license. 3. The infoi-mation may b;, sliared with other local, state or federal agencies to the exte.nt necessary to process tlie��ennit or license. 4. If your requested pennit or license requires Council action to approve, some infonnation may become public. 5. You have certain ri�1�Ts under M.S. 13.0=� (available upon rcquest)to review private data on yourself. 6. Y ui�fiill name is rcquii-;,d Yo p ocess [his a��plication or pein�it. — –�L�--- --- ��..� F�irst A➢iddle Last Address ---��` —–!__ — ----�f�� ��"��-�--------------�.1`�_ �� - c�� -�-�—�� Statc Phone 1 understand my ribhts as stated above Si;nature ---- – -- ---- — ;�