�
<br /> �
<br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA
<br /> Subd. 1. Type of data. The rights of individual oa 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 confidential data concerning himself
<br /> shall be informed of: (a)the purpose and intended use of the requested data wi[hin the collecting state agency,political subdivision,or statewide
<br /> system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or
<br /> refusing to supply private or confidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data.
<br /> This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law
<br /> enforcement officer.
<br /> The commissioner of revenue mav olace the notice reouired under this subdivision in[he individual income tax or orooerrv tax refund
<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 he is the
<br /> subject of stored data on individuals,and whether it is classified as public,private or confidentiaL Upon his further request,an individual who
<br /> is the subject of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed
<br /> of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning, the data need not be
<br /> disdosed to him for six months thereafrer unless a dispute or action pursuant to this section is pending or additional data on the individual has been
<br /> collected or created. 'I'he responsible authoriry shali provide copies of the private or public data upon request by the individual subject of the data.
<br /> The responsible authoriry may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
<br /> The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
<br /> of the date of[he request,excluding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with
<br /> the request within that time, he shall so inform the individual, and may have an additional five days within which to comply with the request,
<br /> excluding Saturdays, Sundays and legal holidays.
<br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
<br /> private data conceming hirnself. To exercise this right,an individua(shall notify in writing the responsible authoriry describing the nature of the
<br /> disagreement. The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify
<br /> past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data
<br /> to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
<br /> The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating
<br /> ro 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
<br /> request for a permit or license from the City of Orono or any of its departments may require you to furnish certain
<br /> private or 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
<br /> 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
<br /> process 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 /> ��!�,�`'�.� �,✓�� �'"t d�° �r,' ��;t'�.� /�. ��" � f F��.�.,.� P
<br /> First Middle Last
<br /> ,,�P, r �:;f t���,' s?t,.�i j,�,�l.,�
<br /> / C= �"�
<br /> Address , � r ,,.. , � ,� �r
<br /> �,,,,,�.,-�: r ,.., �
<br /> , �� � M� � ��. ..v. ",i ..��- ��
<br /> City State Zip Phone
<br /> I understand my rights as stated above.
<br /> ,%' �,,_
<br /> �,/ / ,�` -_�":�^ [ri..i, �' � �.s,�;t'.
<br /> , ,,�-�.. ! :
<br /> Signature
<br /> 6
<br /> �
<br />
|