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• 7 <br /> Szc.13.0-1 RiGHTS OF SUBJECTS OF DaTa <br /> Subd. 1. Type of data. 'Ihe ri¢h[s of individual on whom[��data is s:o:�or to be scored shall be as set forth in this secdon. <br /> Subd.2. Informacion reqirired to be given individual. An iLdi�•idual as's�to supply privat�or confidendal data conceming himself sball <br /> be informed of: (a)the purpose and in[ended use of the requesud dara wi�in the colIecdng'state agency,polidcal subdivisioo,or sratewide rysum; <br /> (b)whe�'ter he may refuse oY is legally required to supply the requested daca;(c)any�o�eoasequence arising from his supplying or rofusing to supply <br /> priva�e or conndendal data;and(d)the idendry of ocher persoas or enriees za�horiz�d by s�ate or federal law to receive the data..This requiremen�s6a11 <br /> not apply when an individual is asked to supply invescieadve dara,pursu_.c�o seccoa 13.82,subdivision 5, [o a law enforcement officer. <br /> The commissioner of r^venue r-iav place the nodce rauired erd-r this subdivision in the individual ir.come tax or Qropem tax refund <br /> inscructions inscead of on those forms. <br /> Subd. 3. access to data by indiridual. Upon requesc to a r_s�aasible auc:oriry,an individual shall be informed whether he is the subject <br /> of scored data on individuals,and whe�her i[is classified as pub]ic,priva�or confid�nrial. Upon his furcher request,an individual who is the subjecc <br /> of s�ored privace or public data on individuals shall be shown the data w�i�ouc any c:.arge to him and,'if he desires, shall be informed of the con�enc <br /> and meaning of chat data. After an individual has been shown the priva�Caca and it:or�ned of ics meaniag.the daca need not be disclosed to him for <br /> six mon�hs chereatter unless a dispute or acrion pursuant to chis secdon is�ending o:addiaonal data on the individual has been collec�ed or crea�ed. <br /> The responsible au�horiry shall provide copies of the privace or public daca c�on req�-s:by che individual subjecc of rhe data. The responsible authoriry <br /> may require [he requesting person to pay the accual cos�s of making,ce::;ing,a:.d compiling ehe copies. <br /> 'Ihe responsible auchoriry shall comply immedia�zly,if possio?=,wich any request made punuant to this subdivision, or wichin Etve days of <br /> che dat�of�he reques�,excluding Sacurdays,Sundays and legal holidays,i;irnmediac=compliance is noc possible. If he cannot comply wi�h the requesc <br /> wichin thac ame,he shall so inform che individual,and may have an addi�e:31 five da;s wichin which to comply with the request,excluding Saturdays, <br /> Sundays and lega(holidays. <br /> Subd.4. Procedure when data is not accurate oc complete. 3n individuzl may contest the accuracy or completeness of public or pri�•ate <br /> data conceming himsetf. To exercise�his riehc,an individual shall norif;�ia wrian,c-:�responsible authoriry dzscribing ehe nacure of the disagreemea�. <br /> The responsib(e aurhoriry shall wichin 30 days either: (a)correct[he dae ic�nd to�e inaccucate or incompiece and attempc to noafy pasc recipiencs oE <br /> inaccunre or incomplete data, including recipients named by tha individLzi;or(b) codfy the individual that he btlieves the d3ta to be coaect. Dara <br /> in dispu��shall be disclosed orily if the individual's staremenc of disa;rc��tnc is ine:nded with the disdosed dara. <br /> Ttie dececminarion of the rasponsible authoriry may be appea:=� pursua::to the provisions of che administrarive procedare acc reladng to <br /> contested cases. <br /> DAT� PRI�'�CY AD�ZSORY <br /> In accordance with M.S. 13.04, Subd.2, "Riobts of subjects oi data", we would like to inform yeu thac your reauest <br /> for a permit or license from the Ciry of Orono or any oi i�s depu�:�.encs may require you to furnish certain privace or <br /> confidencial information. <br /> You are notifred that: <br /> 1, The informacion you furnish will be used to de:ermine�'our qualification for the peruut or license requested. <br /> ?, You may refuse to supply data, but refusal nay require that the City deny the permit or license. <br /> 3, The information may be shared with other locz, state or federal agencies to the extent necessary to process <br /> the permit or license. <br /> 4, If your requested perm.it or license requires Council action to approve, some information may become <br /> . public. <br /> j, You have cenain riQhts under N1.S. 13.04 (2•:ailable uoon reques[) to review private data on yourself. <br /> 6. Your full name is required to process this application or permit. <br /> First �iiddle Lasc <br /> �lddress <br /> Ciry Stace Zip Phonz <br /> I understand my rights as sta ed�bov . <br /> �. �' %;; <br /> S ignacure <br />