Laserfiche WebLink
Sec.13.04 RIGHTSOFSUBJECTSOFDATA , ; ' <br /> , l,. <br /> `! <br /> Subdivision I. Type of daf¢ The rrgh[s of individual on tivhom the data rs stored or to be stored sha!!be as set forth in this sectron. <br /> Subd.2. Injormation required to be given individuaL An individua!asked to supply privare or confidentral data concerning himselj <br /> shal!be rnformed of.� (a)the purpose and intended use of the requested data within the collecting state agency,politica!subdrvision,or statetivide <br /> syslem;(b)whether he may refuse or is legally requrred to supply the requested data;(c)any known consequence arising from his supplying or <br /> refusing to supply private or conf dentia!data;and(d)the identrty ojother persons or enlrties authori=ed by state or federal lativ to receive the data. <br /> This requirement shall not apply when an indivrdual is asked to supply investigative dala,pursuant to section /3.82, subdivrsion S, to a lmv <br /> enforcemen!o�cer. <br /> The commrssroner o(revenue may place the notrce requrred under this subdivisron in the rndividual income tczr or propertv tczx refund <br /> rnstructions rnstead ofon those torms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authority,an indrvidual shall be informed whether he is the subject <br /> of stored data on indivrduals, and whether it is classifred as public,prrvale or confrdenlial. Upon his jrrther request,an indivrdua!who is the <br /> subject of slored prrvate or public data on individuals shal!be shoivn the data without any charge to him and, if he desrres,shal!be informed of <br /> Ihe content and meaning of that data. Af[er an indivrdual has been shoivn the private data and rnformed ojils meaning, the data need not be <br /> disclosed to him jor six months thereafler unless a dispute or action pursuant to this section is pending or addilional data on the individual has <br /> been collected or created. The responsible authoriry shall provide copies ojthe private or publrc data upon request by the individual subject oj <br /> the data. The responsible authority may require the requesting person!o pay the actual costs of making,cert�ing,and compiling the copies. <br /> The responsible authority shall comply rmmediately,rf possible,with any request made pursuant to thrs subdivision,or ivilhin frve days <br /> of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ijhe cannot comply tia�ith the <br /> request within that time,he shall so injorm the individual,and may have an additional five days lvithrn iehich to comply with the request,excluding <br /> Saturdays,Sundays and legal holidays. <br /> Subd 4. Procedure when data is not accurate or complete. An rndividual may contest the accuracy or completeness ofpublic or prrvate <br /> data concernrng himselj. To exercise thrs right, an individual shall no[�rn writrng the responsrble authoriry describing the nature oj the <br /> disagreement. The responsible authority shall within 30 days either: (a)correct the datafound to be inaccurate or incomplete and altempt to notify <br /> past recipients of inaccurate or incomplete data,including recrpienls named by the individual;or(b)not�Ihe individual that he be[ieves the data <br /> to be correct. Data in dispute shall be disclosed only if the rndividua!'s statement of drsagreement is included with rhe disclosed data. <br /> The determinalion oJthe responsible authority may be appealed pursuant to the provisions ojthe administrative procedure act relating <br /> to contested cases. � <br /> DATA PRIVACYADVISORY <br /> /n accordance wrth M S.13.04,Subd.2, "Rights of subjects of data",ive would like to inform i ou that your reguesr jor a permit or license <br /> from!he City of Orono or any ojits departments may require you to furnish certain prrvate or confrden(ia!information. <br /> You are notrfied that: <br /> 1. The informalion you furnlsh ivill be used to determine your qualification for[he permit or license requested. <br /> 2. You may refuse 10 supply data,but refusal may require that the Crty deny the permit or license. <br /> 3. The injormation may be shared with other local,state or,federa!agencies!o the extenJ necessary to process!he pennit or <br /> license. <br /> 4. If your requested permit or license requires Council action to approve,some informatron may become publrc. <br /> 5. You have certarn righls under M S. 13.0�1(see folloivrng page)to revieiv private data on yourself. <br /> 6. Your full name is required[o process thrs application or permit. <br /> PLEASE PRLNT <br /> ��'!.C� �Q-� � � N 1V; j x--- <br /> Firsf Middle Last <br /> � `� � ��� ���y Lu U�. <br /> , <br /> Address <br /> �ti� �� y�� f�t � � � �-5� ��l <br /> . <br /> City Slate Zip Phone <br /> I un nd my ri h!s s stat ove. <br /> � <br /> Signature <br /> /0 <br />