HomeMy WebLinkAboutrequest for info ORONO ADMINIS�RATNE OFF2CES
I?�7FORMATION DISCLOSIIRE RE4IIEST
IIINNESOTA Ga DATA PR�CTICES ACT
' gEQUES�ER NOTE=
A, Request Frequency - Private Data on indivi.dual.s. After you
have been supplied the data and informed of its meaning,
the
data need not be disclosed to you for six montns thereafter
unless a dispute or action is pending or additional data -on
you has been collected.
g. You may be reauired to P�ythetconies So= n=orm tion
certif ying and/or compiling _
requested. -
Date of Request s '� � ��
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Requester Name_ .=-� ' �� .
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Description of Information Reuuested:
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gequester: s Signature: _ !�`<' ,,; .� ✓c �` `�.` �
BELOW SNFOFtMATION TO BE FII,LED IN BY DEPAR22ff.'ZIT ONLY
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Confidential Non-?ublic =rotected Non-Public
geguest is:
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