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� <br /> Sec.13.04 RIGHTS OF SUBJECTS OP'DATA <br /> Subd.1. T}�pc of data. Thc rights o!individual on whom the data is stored or to be stored shall be as set forth in this section. <br /> Subd.2. Infm�mation required to be given individual. An individual asked to supply private or confidential data concerning himself shall be <br /> informed of: (a)the purpose and intendcd use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) <br /> whether he may refuse or is Icgally required to suppl}•thc requested data;(c)any known consequence arising from his supplying or refusing to supply <br /> private or confidential 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 supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. <br /> The commissioncr of revenue mav olace the notice reauired under this subdivision in the individual income tax or oropertv tax refund <br /> instructions instead of on those forms. <br /> Subd.3. Access to data b,y indi��idu�l. Upon requcst to a responsible authority,an individual shall be informed whether he is the subject of <br /> stored data on individuals,and whether it is cl�ssified 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 an��charge to him and,if he desires,shall be informed of the content and <br /> meaning of that data. Aftcr an individual has been shown thc private data and informed of its meaning,the data need not be disclosed to him for six <br /> months thereafter unless�dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The <br /> responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data.The responsible authnrity may <br /> require the requesting person to pay the actual costs of making,certifying,and compiling the copies. <br /> The responsible authority shall comply immediatcly,if possible,with am�request made pursuantto this subdivision,or within five days of the <br /> date of the request,excluding S�turdays,Sundays and legal holida}�s,if immediate compliance is not possible. If he cannot eomply with the request within <br /> that time,he shall so int'orm the individual,and ma��have an additional five days within which to comply with thc request,excluding Saturdays,Sundays <br /> and legal holidays. <br /> Subd.4. Procedure when data is not accurate or co�nplete.An individual may contest the accuracy or completeness of'public or private data <br /> conccrning himselT. To exercise this right,an individual shall notifv in writing the responsible authority describing the nature of the disagreement The <br /> responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of <br /> inaccur.�te or incomplete data,including 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°if the individuaPs statement of disagreement is included with the disclosed data. <br /> The detennination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance�vith 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 f'rom 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 /> � �tR ciVl � <br /> �irst il1iddle Last <br /> Address <br /> City State Zip Phone <br /> I understand mv rights as stated above. <br /> '�u...�� C��� <br /> Sign atu rc <br /> Reset Form <br />