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Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd. 1. Type of data. The rights of i�ividual on whom the data is stored or to be stored shall be as set forth in tlus secdon. <br /> Subd.2. Informatioa required to be given individual. An individual asked ro supply private or confidential data concerning himself <br /> shall be informed of: (a)the purpose and intended use of the requested data within 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 lmown consequence arising from his supplying or <br /> refusing to supply private or confidential data;and(d)the identiry of other persons or entities auihorized by state or federal law to receive the data. <br /> This requirement shall not apply when an individual is asked to supply investigadve data, pursuant to secaon 13.82, subdivision 5, to a law <br /> enforcement o�cer. <br /> The commissioner of rovemie mav olace the notice reauired under this subdivision in the individual income taz or nronertv 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 irniividuals,and whether it is classified as public,private or confidendal. 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 /> disc(osed to him for six months thereafter unless a dispute or action pursuant ro this secdon is pe�xling or addidonal data on the individual has been <br /> collected or created. The responsible authoriry shall provide copies of the private or�blic data upon request by the individual subject of the data. <br /> The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. <br /> The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days <br /> of the date of the request,excluding SaUudays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with <br /> the request widvn that time,he shall so inform the individual,and may have an additional five days within which to comply with the requesi, <br /> excluding Saturdays,Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An u►dividual may contest the accuracy or completeness of public or <br /> private data conceming himself. To exercise this right,an individual shall nodfy in wridng the responsible authority describing the nature of the <br /> disagreement. The responsible authority shall within 30 days eidur: (a)correct the data found to be inaccurate or it�complete a�l attempt to notify <br /> past recipients of inaccurate or incomplete data,ic�cluding recipients named by the ic�ividual;or(b)notify the individual that he believes the data <br /> to be correct. Data in dispute st�all be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The determinaaon of the responsible authoriry may be appealed pursuant to the provisions of the administrative prceedure act relating <br /> to 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 �ity 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 fumish 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 Ciry 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 pemut 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 /> First Middle �S� <br /> Address <br /> Ciry State Zip Phone <br /> I understand m ' ts as above. <br /> � <br /> Signamre <br /> 6 <br />