Laserfiche WebLink
j . . <br /> Sea13.04 RIGHTS OF SUBJECTS OE DATA <br /> Subd.l. Type of data. Thc 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 confidential data concerning himself shall be <br /> informed oG• (a)the pw•pose and intended use of thc 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 confldential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall <br /> not apply when an individual is asked to supph�investigative data,pursuant to section]3.82,subdivision 5,to a la���enforcement officer. <br /> The commissioner of revenue mav nlace the notice required under this subdivision in the individual income tax or pronertv tax refund <br /> instructions instead of on those torms. <br /> Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject o[ <br /> • stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of <br /> stored private or public data on individuals shall be shown the data without any chargc to him and,if he desires,shall be informed of the content and <br /> meaning of that data. After an individual has bcen 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. The <br /> responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may <br /> require the requesting person to pay the actual costs of making,certifying,and compiling the copies. <br /> Thc responsible authority shall complV immediately,if possible,with any request made pursuant to this subdivision,or within five days of the <br /> date o[thc request,excluding Saturdays,Sundays and Icgal holidays,if immediate compliancc is not possible. If he cannot comply with thc request within <br /> that time,he shall so inf'orm the individual,and may have an additional five days within which to comply with the request,excluding Satw•days,Sundays <br /> and legal holidays. <br /> Subd.4. Proccdure when datn is not accurate or complete. An individual may contest the accuracy or completeness of public or private data <br /> concerning himself. To exercise this right,an individual shall notify in writing the responsible authorit}'describing the nature of the disagreement. The <br /> responsible authority shall witl�in 30 days cithe�: (a)correct the data found to bc inaccurate or incomplcte and attempt to notify past recipients of <br /> inaccurate or incomplete data,induding recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in <br /> dispute shall be disclosed only i[the individual's statement of disagreement is included with the disclosed data. <br /> Thc dctermination of thc responsiblc authorih'ma,y be appealed pursuant to thc provisions o(the administrative procedw•e act 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�vould like to inform you that your request <br /> f'or a pernut 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 deternune 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 becon�e <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 /> l-� �2 v� r S 1'e t�J ble-''� � (,l t 1\ � c�� C <br /> First Middle Last <br /> L l � � l�vl�-^J U C� � _ � -� . <br /> Addmss 1-} q 5'Z^�-('� � -- O 2(e,� <br /> (��tc�hv � N .�S^3`1 � c (� LZ - �S�U -3 ( 3� <br /> City State Zip Phone <br /> I understand my rights as stated above. <br /> .�����..�., � <br /> Signature <br />