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Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd.1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. <br /> Subd.2. Information required to be given individual.An individual asked to supply private or coofidential data concerniog himselfshall be <br /> informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) <br /> whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply <br /> private or con5deotial date;and(d)the identity of other persons or entities authorized by state or federal Iaw to receive the data.This requirement shall <br /> not appiy when an individual is asked to suppiy investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioner of revenue mav olace the no6ce reauired uoder this subdivision in the individual income tax or oroaertv tax refuud <br /> instructions instead of on those forms. <br /> Subd.3. Access to data by individuaL Upon request to a responsible authority,an individual shall be informed whether 6e is the subject of <br /> stored data oo individuals,and whether it is classified as public,private or confidential. Upoo his further request,ao individual who is the subject o[ <br /> stored private or public data on individuals shall be s6own the data without any c6arge to him and,if he desires,shall be informed otthe content and <br /> meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six <br /> months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. 7'he <br /> responsibie authority shall provide copies of the private or public data upon request by the individual subject ofthe data.T6e responsibk authority may <br /> require the requesting person to pay the actual costs of making,certifying,and compiling the copies. <br /> The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within 5ve days of the <br /> date ofthe request,ezcluding Saturdays,Sundays and legal holidays,itimmediste compiiance is not possibla If he cannot comply with the request wit6in <br /> that time,he shall so inform the individual,and may have an additional frve days within which to comply wkh the request,excluding Saturdays,Sundays <br /> and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete.An individual may cootest the accuracy or completeness of public or private dats <br /> concerning himself.To exercise this right,ao individual shall notify in writing the responsible authority describing the nature of the disagreement The <br /> responsible authority shall within 30 days either: (a)wrrect the data found to be inaccurate or incomplete and attempt to ootify past recipients of <br /> inaccurste or incomplete data,including recipients named by the individual;or(b)ootify t6e individual that he believes the data to be correct Deta in <br /> dispute shall be disclosetl ooly if the individual's stetemeot of disagreement is inciuded with the disclosed data. <br /> The determination of the responsible authority msy be appealed pursuant to the provisions of the administrative procedure aM relating to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S.13.04,Subd.2,"Rights of subjects 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 furnish 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 /> 6. Your full name is required to process this application or permit. <br /> S� i r /'�,�..-. ��cwa�.'l <br /> First Middle L.ast <br /> 3� �� G T 10 �.Y - <br /> Address <br /> �Yi"�e N�'✓ S�f/ T.�'y7�'���y <br /> C�h, State Zip Phone <br /> I understand m ghts as stated above. <br /> / <br /> � �� <br /> Sig ture <br /> Reset Form <br />