DATABASE ACCESS REQUEST FORM

This form must be typed or completed on your computer and printed out for signatures in order to be processed

All information should be completed with the exception of Fax and DCF Log-on where not applicable.

Please refer to the Pamphlet 155-2 Chapter 2 – Security to view all information on the completion of these forms.

1. REQUESTER INFORMATION:

Name: First: MI: Last:

User SSN:

*Contractor ID: *Contractor Name:

* Not applicable for Private Providers or requests for IRAS

Provider ID: Provider Name:

(Sub-Contractor ID)(Sub-Contractor Name)

Region: Circuit: County: Phone:

Fax: Email:

Mailing Address:

DCF Issued Log-on (If already assigned one):

2. AUTHORIZATION SIGNATURES:

Supervisor’s Name:

Supervisor’s Signature: ______Signature Date: ______

SAMH Data Liaison or Regional Security Officer Name:

SAMH Data Liaison or Regional Security Officer Signature: ______Signature Date: ______

 SAMH HQ Security Officer Signature: ______Signature Date: ______

3.DATABASE SYSTEM(S) TO BE ACCESSED BY THE REQUESTER

SAMH Database(Query Facility, TANF, Data Visibility Reports) SALIS

DC Aftercare Referral IRAS (Incident Reporting)Access To Recovery (ATR)

4. LEVEL AND ROLE OF THE REQUESTER:

a. SAMHIS Roles: (Choose one)

Administrator / Staff
State
Region/Circuit
Contractor
Sub-Contractor
DC Facility

b.IRAS Roles: (Choose one)

Viewer Initiator Incident Coordinator Death Review Coordinator Child Fatality Prevention Specialist

Communications Designee Leadership User Administrator Administrator

5. ACTION REQUESTED:

Add New User Deactivate User Reactivate User Update User Information

6. Confidentiality and security requirements:

By my signature, I acknowledge that I am responsible for safeguarding the confidentiality and security of this information as required by the following state and federal laws:

42 Code of Federal Regulation Part 2 and Part 142; 45 Code of Federal Regulation Parts 160 and 164;

Section 394.4615, Florida Statutes; Section 397.501(7), Florida Statutes;

Section 916.107(8), Florida Statutes; Section 282.318, Florida Statutes

I received: Security Awareness Training on: HIPAA Training on: Certificates Attached

(MMDDYYYY) (MMDDYYYY)

Requestor’s Signature: ______Signature Date: ______

SECURITY AGREEMENT FORM

TheDepartment of Children and Families has authorized you:

tohaveaccesstosensitivedatausingcomputer-relatedmedia(e.g.,printedreports,microfiche,system inquiry, on-line update, or any magnetic media).

Computercrimesareaviolationofthedepartment’sStandardsofConduct. Inadditiontodepartmental discipline, committing computer crimes may result in Federal or State felony criminal charges.

Iunderstandthatasecurityviolationmayresultincriminalprosecutionaccordingtotheprovisionsof Federal and State statutes and may also result in disciplinary action against me according to the department’s Standards of Conduct in the Employee Handbook.

Bymysignaturebelow,IacknowledgethatIhavereceived,read,understandandagreetobeboundby the following:

•TheComputer Related Crimes Act, Chapter 815, F.S.

•Sections7213, 7213A, and 7431 of the Internal Revenue Code, which provide civil and criminal penalties for unauthorized inspection or disclosure of Federal taxdata.

•6103(l)(7)of the Internal Revenue Code, which provides confidentiality and disclosure of returns and return information.

•CFOP50-2.

•Itis the policy of the Department of Childrenand Families that no contract employee shall have access to IRS taxinformation or FDLE information, unless approved in writing, by name and position to access specified information, asauthorized by regulation and/or statute.

•Itis the policy of the Department of Children and Families that I do not disclose personal passwords.

•Itis the policy of the Department of Children and Families that I do not obtain information for my own or another person’s personal use.

•Iwill only access or view information or data for which I am authorized and have a legitimate business reason to see when performing my duties. Ishall maintain the integrity of all confidential and sensitive information accessed.

•“Casualviewing” of employee or client data, even data that is not confidential or otherwise exempt from disclosure as a public record, constitutes misuse of access and is not acceptable.

•TheDepartment of Children and Families will perform regular database queries to identify misuse of access.

•Chapter119.0712, Florida Statutes, and the Driver Privacy Protection Act (DPPA).

PRIVACYACTSTATEMENT: Disclosureofyoursocialsecuritynumberisvoluntary,but must be providedinordertogain

accesstodepartmentsystems. Itisrequested,however,pursuanttoSection282.318,Florida Statutes, the Security of

Data andInformationTechnologyResources Act. TheDepartment requestssocialsecuritynumberstoensuresecureaccesstodatasystems,preventunauthorizedaccesstoconfidential and sensitive informationcollectedand stored by the

Department,andprovideauniqueidentifierinoursystems.

PrintEmployee/ContractorNameSignatureofEmployee/ContractorDate

PrintSupervisorNameSignatureofSupervisorDate

CF114,PDF06/2010 DistributionofCopies: Original–PersonnelFile/ContractFile; Copy–Employee/Contractor

CHAPTER815:COMPUTER-RELATEDCRIMES

815.01Shorttitle. Theprovisionsofthisactshallbeknownandmaybecitedasthe"FloridaComputerCrimesAct."(History:s.1,ch.78-92.)

815.02Legislativeintent. TheLegislaturefindsanddeclaresthat:

(1)Computer-relatedcrimeisagrowingproblemingovernmentaswellasintheprivatesector.

(2)Computer-relatedcrimeoccursatgreatcosttothepublicsincelossesforeachincidentofcomputercrimetendtobefargreaterthanthelossesassociatedwitheachincidentofotherwhitecollarcrime.

(3)Theopportunitiesforcomputer-relatedcrimesinfinancialinstitutions,governmentprograms,governmentrecords,andotherbusinessenterprisesthroughtheintroductionoffraudulentrecordsintoacomputersystem,theunauthorizeduseofcomputerfacilities,thealterationordestructionofcomputerizedinformationorfiles,andthestealingoffinancialinstruments,data,andotherassetsaregreat.

(4)Whilevariousformsofcomputercrimemightpossiblybethesubjectofcriminalchargesbasedonotherprovisionsoflaw,itisappropriateanddesirablethatasupplementalandadditionalstatutebeprovidedwhichproscribesvariousformsofcomputerabuse.

(History:s.1,ch.78-92.)

815.03Definitions. Asusedinthischapter,unlessthecontextclearlyindicatesotherwise:

(1)"Access"meanstoapproach,instruct,communicatewith,storedatain,retrievedatafrom,orotherwisemakeuseofanyresourcesofa computer,computersystem,orcomputernetwork.

(2)"Computer"meansaninternallyprogrammed,automaticdevicethatperformsdataprocessing.

(3)“Computercontaminant”meansanysetofcomputerinstructionsdesignedtomodify,damage,destroy,record,ortransmitinformationwithinacomputer,computersystem,orcomputernetworkwithouttheintentorpermissionoftheowneroftheinformation. Thetermincludes,butisnotlimitedto,agroupofcomputerinstructionscommonlycalledvirusesorwormswhichareself-replicatingorself-propagatingandwhicharedesignedtocontaminantothercomputerprogramsorcomputerdata;consumecomputerresources;modify,destroy,record,ortransmitdata;orinsomeotherfashionusurpthenormaloperationofthecomputer,computersystem,orcomputernetwork.

(4)"Computernetwork"meansanysystemthatprovidescommunicationsbetweenoneormorecomputersystemsanditsinputoroutputdevices,including,butnotlimitedto,displayterminalsandprintersthatareconnectedby telecommunicationfacilities.

(5)"Computerprogramorcomputersoftware"meansasetofinstructionsorstatementsandrelateddatawhich,whenexecutedinactualormodifiedform,causeacomputer,computersystem,orcomputernetworktoperformspecifiedfunctions.

(6)"Computerservices"include,butarenotlimitedto,computertime;dataprocessingorstoragefunctions;orotherusesofacomputer,computersystem,orcomputernetwork.

(7)"Computersystem"meansadeviceorcollectionofdevices,includingsupportdevices,oneormoreofwhichcontaincomputerprograms,electronicinstructions,orinputdataandoutputdata,andwhichperformfunctions,including,butnotlimitedto,logic,arithmetic,datastorage,retrieval,communication,orcontrol. Thetermdoesnotincludecalculatorsthatarenotprogrammableandthatarenotcapableofbeingusedinconjunctionwithexternalfiles.

(8)“Data”meansarepresentationofinformation,knowledge,facts,concepts,computersoftware,computerprograms,orinstructions. Datamaybeinanyform,instoragemediaorstoredinthememoryofthecomputer,orintransitorpresentedonadisplaydevice.

(9)"Financialinstrument"meansanycheck,draft,moneyorder,certificateofdeposit,letterofcredit,billofexchange,creditcard,ormarketablesecurity.

(10)"Intellectualproperty"meansdata,includingprograms.

(11)"Property"meansanythingofvalueasdefinedin[Footnote1]s.812.011andincludes,butisnotlimitedto,financialinstruments,information,includingelectronicallyproduceddataandcomputersoftwareandprogramsineithermachine-readableorhuman-readableform,andanyothertangibleorintangibleitemofvalue.

(History:s.1,ch.78-92;s.9,ch.2001-54.) ([Footnote1]Note:Repealedbys.16,ch.77-342.)

815.04Offensesagainstintellectualproperty;publicrecordsexemption.

(1)Whoeverwillfully,knowingly,andwithoutauthorizationmodifiesdata,programs,orsupportingdocumentationresidingorexistinginternalorexternaltoacomputer,computersystem,orcomputernetworkcommitsanoffenseagainstintellectualproperty.

(2)Whoeverwillfully,knowingly,andwithoutauthorizationdestroysdata,programs,orsupportingdocumentationresidingorexistinginternalorexternaltoacomputer,computersystem,orcomputernetworkcommitsanoffenseagainstintellectualproperty.

(3)(a)Data,programs,orsupportingdocumentationwhichisatradesecretasdefinedins.812.081whichresidesorexistsinternalorexternaltoacomputer,computersystem,orcomputernetworkwhichisheldbyanagencyasdefinedinchapter119isconfidentialandexemptfromtheprovisionsofs.119.07(1)ands.24(a),Art.IoftheStateConstitution. (b)Whoeverwillfully,knowingly,andwithoutauthorizationdisclosesortakesdata,programs,orsupportingdocumentationwhichisatradesecretasdefinedins.812.081orisconfidentialasprovidedbylawresidingorexistinginternalorexternaltoacomputer,computersystem,orcomputernetworkcommitsanoffenseagainstintellectualproperty.

(4)(a)Exceptasotherwiseprovidedinthissubsection,anoffenseagainstintellectualproperty isafelony ofthethirddegree,punishableasprovidedins.775.082,s.775.083,ors.775.084. (b)Iftheoffenseiscommittedforthepurposeofdevisingorexecutingany schemeorartificetodefraudortoobtainanyproperty,thentheoffenderisguiltyofafelonyoftheseconddegree,punishableasprovidedins.775.082,s.

775.083,ors.775.084.

(History:s.1,ch.78-92;s.1,ch.94-100;s.431,ch.96-406.)

815.045Tradesecretinformation. TheLegislaturefindsthatitisapublicnecessitythattradesecretinformationasdefinedins.812.081,andasprovidedforins.815.04(3),beexpresslymadeconfidentialandexemptfromthepublicrecordslawbecauseitisafelony todisclosesuchrecords.Duetothelegaluncertainty astowhetherapublicemployeewouldbeprotectedfromafelonyconvictionifotherwisecomplyingwith chapter119,andwiths.24(a),Art.IoftheStateConstitution,itisimperativethatapublicrecordsexemptionbecreated.TheLegislatureinmakingdisclosureoftradesecretsacrimehasclearlyestablishedtheimportanceattachedtotradesecretprotection.Disclosingtradesecretsinanagency'spossessionwouldnegativelyimpactthebusinessinterestsofthoseprovidinganagency suchtradesecretsby damagingthemin

themarketplace,andthoseentitiesandindividualsdisclosingsuchtradesecretswouldhesitatetocooperatewiththatagency,whichwouldimpairtheeffectiveandefficientadministrationofgovernmentalfunctions.Thus,thepublicandprivateharmindisclosingtradesecretssignificantlyoutweighsanypublicbenefitderivedfromdisclosure,andthepublic'sabilitytoscrutinizeandmonitoragency actionisnotdiminishedbynondisclosureoftradesecrets. (History:s.2,ch.94-100.) (Note.Formers.119.165)

815.06Offensesagainstcomputerusers.

(1)Whoeverwillfully,knowingly,andwithoutauthorization: (a)Accessesorcausestobeaccessedanycomputer,computersystem,orcomputernetwork; (b)Disruptsordeniesorcausesthedenialofcomputersystemservicestoanauthorizeduserofsuchcomputersystem

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services,which,inwholeorpart,isownedby,undercontractto,oroperatedfor,onbehalfof,orinconjunctionwithanother; (c)Destroys, takes,injures,ordamagesequipmentorsuppliesusedorintendedtobeusedinacomputer,computersystem,orcomputernetwork;

(d)Destroys,injures,ordamagesanycomputer,computersystem,orcomputernetwork;or (e)Introducesanycomputercontaminantintoanycomputer,computersystem,orcomputernetwork, commitsanoffenseagainstcomputerusers.

(2)(a)Exceptasprovidedinparagraphs(b)and(c),whoeverviolatessubsection(1)commitsafelonyofthethirddegree,punishableasprovidedins.775.082,s.775.083,ors.775.084. (b)Whoeverviolatessubsection(1)and: 1.Damagesacomputer,computerequipment,computersupplies,acomputersystem,oracomputernetwork,andthemonetarydamageorlossincurredasaresultoftheviolationis$5,000orgreater; 2.Commitstheoffenseforthepurposeofdevisingorexecutingany schemeorartificetodefraudorobtainproperty;or 3.Interruptsorimpairsagovernmentaloperationorpubliccommunication,transportation,orsupplyofwater,gas,orotherpublicservice,commitsafelony oftheseconddegree,punishableasprovidedins.775.082,s.775.083,ors.775.084. (c)Whoeverviolatessubsection(1)andtheviolationendangershumanlifecommitsafelony ofthefirstdegree,punishableasprovidedins.775.082,s.775.083,ors.775.084.

(3)Whoeverwillingly,knowingly,andwithoutauthorization modifiesequipmentorsuppliesusedorintendedtobeusedinacomputer,computersystem,orcomputernetworkcommitsamisdemeanorofthefirstdegree,punishableasprovidedins.775.082ors.775.083.

(4)(a)Inadditiontoany othercivilremedy available,theownerorlesseeofthecomputer,computersystem,computernetwork,computerprogram,computerequipment,computersupplies,orcomputerdatamay bringacivilactionagainstanypersonconvictedunderthissectionforcompensatorydamages. (b)Inanyactionbroughtunderthissubsection,thecourtmayawardreasonableattorneyfeestotheprevailingparty.

(5)Anycomputer,computersystem,computernetwork,computersoftware,orcomputerdataownedbyadefendantwhichisusedduringthecommissionofanyviolationofthissectionorany computerownedby thedefendantwhichisusedasarepository forthestorageofsoftwareordataobtainedinviolationofthissectionissubjecttoforfeitureasprovidedunderss.932.701–932.704.

(6)Thissectiondoesnotapply toany personwhoaccesseshisorheremployer’scomputersystem,computernetwork,computerprogram,orcomputerdatawhenactingwithinthescopeofhisorherlawfulemployment.

(7)Forpurposesofbringingacivilorcriminalactionunderthissection,apersonwhocauses,byanymeans,theaccesstoacomputer,computersystem,orcomputernetworkinonejurisdictionfromanotherjurisdictionisdeemedtohavepersonallyaccessedthecomputer,computersystem,orcomputernetworkinbothjurisdictions.

(History:s.1,ch.78-92;s.11,ch.2001-54.)

815.07Thischapternotexclusive. Theprovisionsofthischaptershallnotbeconstruedtoprecludetheapplicabilityofanyotherprovisionofthecriminallawofthisstatewhichpresently appliesormay inthefutureapply toanytransactionwhichviolatesthischapter,unlesssuchprovisionisinconsistentwiththetermsofthischapter. (History:s.1,ch.78-92.)

SECTION7213–UNAUTHORIZEDDISCLOSUREOFINFORMATION

(a)RETURNSANDRETURNINFORMATION-

(1)FEDERALEMPLOYEESANDOTHERPERSONS–ItshallbeunlawfulforanyofficeroremployeeoftheUnitedStatesoranypersondescribedinsection6103(n)(oranofficeroremployeeofany suchperson),orany formerofficeroremployee,willfully todisclosetoanyperson,exceptasauthorizedinthistitle,anyreturnorreturninformation[asdefinedinsection6103(b)]. Any violationofthisparagraphshallbea felonypunishableuponconvictionbyafineinanyamountnotexceeding$5,000,orimprisonmentofnotmorethan5years,orboth,togetherwiththecostsofprosecution,andifsuchoffenseiscommittedbyanyofficeroremployeeoftheUnitedStates,heshall,inadditiontoany otherpunishment,bedismissedfromofficeordischargedfromemploymentuponconvictionforsuchoffense.

(2)STATEANDOTHEREMPLOYEES–Itshallbeunlawfulforany person[notdescribedinparagraph(1)]willfullytodisclosetoanyperson,exceptasauthorizedinthistitle,anyreturnorreturninformation[asdefinedinsection6103(b)]acquiredby himoranotherpersonundersubsection(d),(i)(3)(B)(i),(1)(6),(7),(8),(9),(10),(12),(15)or(16)or(m)(2),(4),(5),(6),or(7)ofsection6103. Anyviolationofthisparagraphshallbeafelonypunishablebyafineinanyamountnotexceeding$5,000,orimprisonmentofnotmorethan5years,orboth,togetherwiththecostofprosecution.

(3)OTHERPERSONS–Itshallbeunlawfulforanypersontowhomanyreturnorreturninformation[asdefinedinsection6103(b)]is disclosedinanmannerunauthorizedbythistitlethereafterwillfullytoprintorpublishinanymannernotprovidedbylawanysuchreturnorreturninformation. Anyviolationofthisparagraphshallbeafelony punishablebyafineinany amountnotexceeding$5,000,orimprisonmentofnotmorethan5years,orboth,togetherwiththecostofprosecution.

(4)SOLICITATION–Itshallbeunlawfulforanypersonwillfullytoofferanyitemofmaterialvalueinexchangeforany returnorreturninformation[asdefinedin6103(b)]andtoreceiveasaresultofsuchsolicitationany suchreturnorreturninformation. Anyviolationofthisparagraphshallbeafelonypunishablebyafineinanyamountnotexceeding$5,000,orimprisonmentofnotmorethan5years,orboth,togetherwiththecostofprosecution.

(5)SHAREHOLDERS–Itshallbeunlawfulforanypersontowhomreturnorreturninformation[asdefinedin6103(b)]isdisclosedpursuanttotheprovisionsof6103((e)(1)(D)(iii)willfullytodisclosesuchreturnorreturninformationinanymannernotprovidedbylaw. Anyviolationofthisparagraphshallbeafelonypunishablebyafineinanyamountnotexceeding$5,000,orimprisonmentofnotmorethan5years,orboth,togetherwiththecostofprosecution.

SECTION7213A–UNAUTHORIZEDINSPECTIONOFRETURNSORRETURNINFORMATION

(a)PROHIBITIONS–

(1)FEDERALEMPLOYEESANDOTHERPERSONS–Itshallbeunlawfulfor-(A)anyofficeroremployeeoftheUnitedStates,or

(B)anypersondescribedinsection6103(n)oranofficerwillfully toinspect,exceptasauthorizedinthistitle,any returnorreturninformation.

(2)STATEANDOTHEREMPLOYEES–Itshallbeunlawfulforany person[notdescribedinparagraph(l)]willfullytoinspect,exceptasauthorizedby thistitle,any returninformationacquiredby suchpersonoranotherpersonunderaprovisionofsection6103referredtoinsection

7213(a)(2).

(b)PENALTY–

(1)INGENERAL–Anyviolationofsubsection(a)shallbepunishableuponconvictionbyafineinanyamountnotexceeding$1000,orimprisonmentofnotmorethan1year,orboth,togetherwiththecostsofprosecution.

(2)FEDERALOFFICERSOREMPLOYEES–AnofficeroremployeeoftheUnitedStateswhoisconvictedofany violationofsubsection(a)

shall,inadditiontoany otherpunishment,bedismissedfromofficeordischargedfromemployment.

(c)DEFINITIONS–Forpurposesofthissection,theterms"inspect","return",and"returninformation"haverespectivemeaningsgivensuchtermsbysection6103(b).

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SECTION7431–CIVILDAMAGESFORUNAUTHORIZEDDISCLOSUREOFRETURNSANDRETURNINFORMATION

(a)INGENERAL–

(1)INSPECTIONORDISCLOSUREBYEMPLOYEEOFUNITEDSTATES–IfanyofficeroremployeeoftheUnitedStatesknowingly,orbyreasonofnegligence,inspectsordisclosesanyreturnorreturninformationwithrespecttoataxpayerinviolationofanyprovisionofsection

6103,suchtaxpayermay bringacivilactionfordamagesagainsttheUnitedStatesinadistrictcourtoftheUnitedStates.

(2)INSPECTIONORDISCLOSUREBYAPERSONWHOISNOTANEMPLOYEEOFTHEUNITEDSTATES–Ifany personwhoisnotanofficeroremployeeoftheUnitedStatesknowingly,orby reasonofnegligence,inspectsordisclosesanyreturnorreturninformationwithrespecttoataxpayerinviolationofany provisionofsection6103,suchtaxpayermaybringacivilactionfordamagesagainstsuchpersonina districtcourtoftheUnitedStates.

(b)EXCEPTIONS–Noliability shallariseunderthissectionwithrespecttoany inspectionordisclosure- (1)whichresultsfromgoodfaith,buterroneous,interpretationofsection6103,or

(2)whichisrequestedbythetaxpayer.

(c)DAMAGES–Inany actionbroughtundersubsection(a),uponafindingofliabilityonthepartofthedefendant,thedefendantshallbeliabletotheplaintiffinanamountequaltothesumof-

(1)thegreaterof–

(A)$1,000foreachactofunauthorizedinspectionordisclosureofareturnorreturninformationwithrespecttowhichsuchdefendantisfoundliable,or

(B)thesumof:

(i)theactualdamagessustainedbytheplaintiffasaresultofsuchunauthorizedinspectionordisclosure,plus

(ii)inthecaseofawillfulinspectionordisclosureoraninspectionordisclosurewhichistheresultofgrossnegligence,punitivedamages,plus

(2)thecostoftheaction.

(d)PERIODFORBRINGINGACTION–Notwithstandingany otherprovisionoflaw,anactiontoenforceany liability createdunderthissectionmaybebrought,withoutregardtotheamountincontroversy,atanytimewithin2yearsafterthedateofdiscoverybytheplaintiffoftheunauthorizedinspectionordisclosure.

SECTION6103–CONFIDENTIALITYANDDISCLOSUREOFRETURNSANDRETURNINFORMATION

(l)DISCLOSUREOFRETURNSANDRETURNINFORMATIONFORPURPOSESOTHERTHANTAXADMINISTRATION

(7)DisclosureofreturninformationtoFederal,State,andlocalagenciesadministeringcertainprogramsundertheSocialSecurityAct,the

FoodStampActof1977,ortitle38,UnitedStatesCode,orcertainhousingassistanceprograms

(A)ReturninformationfromSocialSecurityAdministration–TheCommissionerofSocialSecurityshall,uponwrittenrequest,disclosereturninformationfromreturnswithrespecttonetearningsfromself-employment(asdefinedinsection1402),wages(asdefinedinsection

3121(a)or3401(a)),andpaymentsofretirementincome,whichhavebeendisclosedtotheSocialSecurity Administrationasprovidedbyparagraph(1)or(5)ofthissubsection,toanyFederal,State,orlocalagencyadministeringaprogramlistedinsubparagraph(D).

(B)ReturninformationfromInternalRevenueService–TheSecretaryshall,uponwrittenrequest,disclosecurrentreturninformationfromreturnswithrespecttounearnedincomefromtheInternalRevenueServicefilestoanyFederal,State,orlocalagencyadministeringa programlistedinsubparagraph(D).

(C)Restrictionondisclosure–TheCommissionerofSocialSecurityandtheSecretaryshalldisclosereturninformationundersubparagraphs(A)and(B)onlyforpurposesof,andtotheextentnecessary in,determiningeligibility for,orthecorrectamountof,benefitsunderaprogramlistedinsubparagraph(D).

(D)Programstowhichruleapplies–Theprogramstowhichthisparagraphappliesare:(i)aStateprogramfundedunderpartAoftitleIVoftheSocialSecurityAct;

(ii)medicalassistanceprovidedunderaStateplanapprovedundertitleXIXoftheSocialSecurityActorsubsidiesprovidedundersection1860D–14ofsuchAct;

(iii)supplementalsecurity incomebenefitsprovidedundertitleXVIoftheSocialSecurityAct,andfederallyadministeredsupplementary paymentsofthetypedescribedinsection1616(a)ofsuchAct(includingpaymentspursuanttoanagreemententeredintoundersection212(a)ofPublicLaw93–66);

(iv)any benefitsprovidedunderaStateplanapprovedundertitleI,X,XIV,orXVIoftheSocialSecurity Act(asthosetitlesapplyto

PuertoRico,Guam,andtheVirginislands);

(v)unemploymentcompensationprovidedunderaStatelawdescribedinsection3304ofthistitle;(vi)assistanceprovidedundertheFoodStampActof1977;

(vii)State-administeredsupplementarypaymentsofthetypedescribedinsection1616(a)oftheSocialSecurity Act(includingpaymentspursuanttoanagreemententeredintoundersection212(a)ofPublicLaw93–66);

(viii)

(I)any needs-basedpensionprovidedunderchapter15oftitle38,UnitedStatesCode,orunderany otherlawadministeredbytheSecretaryofVeteransAffairs;

(II)parents’dependency andindemnity compensationprovidedundersection1315oftitle38,UnitedStatesCode;

(III)health-careservicesfurnishedundersection1710(a)(1)(I),1710(a)(2),1710(b),and1712(a)(2)(B)ofsuchtitle;and

(IV)compensationpaidunderchapter11oftitle38,UnitedStatesCode,atthe100percentratebasedsolelyonunemployability andwithoutregardtothefactthatthedisabilityordisabilitiesarenotratedas100percentdisablingundertheratingschedule;and

(ix)anyhousingassistanceprogramadministeredbytheDepartmentofHousingandUrbanDevelopmentthatinvolvesinitialand periodicreviewofanapplicant’sorparticipant’sincome,exceptthatreturninformationmaybedisclosedunderthisclauseonlyonwrittenrequestby theSecretary ofHousingandUrbanDevelopmentandonly foruseby officersandemployeesoftheDepartmentofHousingandUrbanDevelopmentwithrespecttoapplicantsforandparticipantsinsuchprograms.

Onlyreturninformationfromreturnswithrespecttonetearningsfromself-employmentandwagesmay bedisclosedunderthisparagraphforusewithrespecttoany programdescribedinclause(viii)(IV). Clause(viii)shallnotapplyafterSeptember30,2008.

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DRIVERPRIVACYPROTECTIONACT(DPPA)

Understatelaw,motorvehicle,driverlicense,andvehicularcrashrecordsaresubjecttopublicdisclosure. TheDriverPrivacy ProtectionAct

(DPPA)keepsyourpersonalinformationprivatebylimitingwhohasaccesstotheinformation. (

119.0712Executivebranchagency-specificexemptionsfrominspectionorcopyingofpublicrecords.

(2) DEPARTMENTOFHIGHWAYSAFETYANDMOTORVEHICLES.

(a) Personalinformationcontainedinamotorvehiclerecordthatidentifiesanindividualisconfidentialandexemptfroms.119.07(1)and

s.24(a),Art.IoftheStateConstitutionexceptasprovidedinthissubsection.Personalinformationincludes,butisnotlimitedto,anindividual'ssocialsecurity number,driveridentificationnumberoridentificationcardnumber,name,address,telephonenumber,medicalordisability information,andemergencycontactinformation.Forpurposesofthissubsection,personalinformationdoesnotincludeinformationrelatingtovehicularcrashes,drivingviolations,anddriver'sstatus.Forpurposesofthissubsection,theterm"motorvehiclerecord"meansanyrecordthatpertainstoamotorvehicleoperator'spermit,motorvehicletitle,motorvehicleregistration,oridentificationcardissuedbytheDepartmentofHighway Safety andMotorVehicles.

(b) Personalinformationcontainedinmotorvehiclerecordsmadeconfidentialandexemptbythissubsectionmaybereleasedbythedepartmentforanyofthefollowinguses:

1. Foruseinconnectionwithmattersofmotorvehicleordriversafetyandtheft;motorvehicleemissions;motorvehicleproductalterations,recalls,oradvisories;performancemonitoringofmotorvehiclesanddealersbymotorvehiclemanufacturers;andremovalofnonownerrecordsfromtheoriginalownerrecordsofmotorvehiclemanufacturers,tocarryoutthepurposesofTitlesIandIV oftheAntiCar TheftActof1992,theAutomobileInformationDisclosureAct(15U.S.C.ss.1231etseq.),theCleanAirAct(42U.S.C.ss.7401etseq.),andchapters301,305,and321-331ofTitle49,UnitedStatesCode.

2. Forusebyanygovernmentagency,includinganycourtorlawenforcementagency,incarryingoutitsfunctions,oranyprivatepersonorentityactingonbehalfofafederal,state,orlocalagencyincarryingoutitsfunctions.

3. Foruseinconnectionwithmattersofmotorvehicleordriversafetyandtheft;motorvehicleemissions;motorvehicleproductalterations,recalls,oradvisories;performancemonitoringofmotorvehicles,motorvehicleparts,anddealers;motorvehiclemarketresearchactivities,includingsurveyresearch;andremovalofnonownerrecordsfromtheoriginalownerrecordsofmotorvehiclemanufacturers.

4. Foruseinthenormalcourseofbusinessbyalegitimatebusinessoritsagents,employees,orcontractors,butonly:

a. Toverifytheaccuracyofpersonalinformationsubmittedbytheindividualtothebusinessoritsagents,employees,orcontractors;

and

b. Ifsuchinformationassosubmittedisnotcorrectorisnolongercorrect,toobtainthecorrectinformation,butonlyforthe

purposesofpreventingfraudby,pursuinglegalremediesagainst,orrecoveringonadebtorsecurityinterestagainst,theindividual.

5. Foruseinconnectionwithany civil,criminal,administrative,orarbitralproceedinginanycourtoragencyorbeforeany self-regulatorybodyfor:

state.

a. Serviceofprocessbyanycertifiedprocessserver,specialprocessserver,orotherpersonauthorizedtoserveprocessinthis

b. Investigationinanticipationoflitigationbyanattorneylicensedtopracticelawinthisstateortheagentoftheattorney;however,

theinformationmaynotbeusedformasscommercialsolicitationofclientsforlitigationagainstmotorvehicledealers.

c. Investigationby any personinconnectionwithanyfiledproceeding;however,theinformationmay notbeusedformasscommercialsolicitationofclientsforlitigationagainstmotorvehicledealers.

d. Executionorenforcementofjudgmentsandorders.e. Compliancewithanorderofanycourt.

6. Foruseinresearchactivitiesandforuseinproducingstatisticalreports,solongasthepersonalinformationisnotpublished,redisclosed,orusedtocontactindividuals.

7. Foruseby any insurerorinsurancesupportorganization,orbyaself-insuredentity,oritsagents,employees,orcontractors,in connectionwithclaimsinvestigationactivities,anti-fraudactivities,rating,orunderwriting.

8. Foruseinprovidingnoticetotheownersoftowedorimpoundedvehicles.

9. Forusebyanylicensedprivateinvestigativeagencyorlicensedsecurity serviceforany purposepermittedunderthissubsection.Personalinformationobtainedbasedonanexemptdriver'srecordmay notbeprovidedtoaclientwhocannotdemonstrateaneedbasedona policereport,courtorder,orbusinessorpersonalrelationshipwiththesubjectoftheinvestigation.

10. Forusebyanemployeroritsagentorinsurertoobtainorverify informationrelatingtoaholderofacommercialdriver'slicensethatisrequiredunder49U.S.C.ss.31301etseq.

11. Foruseinconnectionwiththeoperationofprivatetolltransportationfacilities.

12. Forbulkdistributionforsurveys,marketing,orsolicitationswhenthedepartmenthasobtainedtheexpressconsentofthepersontowhomsuchpersonalinformationpertains.

13. Forany useiftherequestingpersondemonstratesthatheorshehasobtainedthewrittenconsentofthepersonwhoisthesubjectofthemotorvehiclerecord.

14. Forany otherusespecifically authorizedby statelaw,ifsuchuseisrelatedtotheoperationofamotorvehicleorpublicsafety.

15. Foranyotheruseifthepersontowhomtheinformationpertainshasgivenexpressconsentinaformatprescribedby thedepartment.Suchconsentshallremainineffectuntilitisrevokedbythepersononaformprescribedbythedepartment.

(c) Notwithstandingparagraph(b),withouttheexpressconsentofthepersontowhomsuchinformationapplies,thefollowinginformationcontainedinmotorvehiclerecordsmayonlybereleasedasspecifiedinthisparagraph:

1. Socialsecuritynumbersmaybereleasedonlyasprovidedinsubparagraphs(b)2.,5.,7.,and10.

2. Anindividual'sphotographorimagemaybereleasedonlyasprovidedins.322.142.

3. Medicaldisabilityinformationmaybereleasedonlyasprovidedinss.322.125and322.126.

4. Emergencycontactinformationmaybereleasedonlytolawenforcementagenciesforpurposesofcontactingthoselistedintheeventofanemergency.

(d) Therestrictionsondisclosureofpersonalinformationprovidedbythissubsectionshallnotinanywayaffecttheuseoforgandonationinformationonindividualdriverlicensesoraffecttheadministrationoforgandonationinitiativesinthisstate.

(e)1. Personalinformationmadeconfidentialandexemptmay bedisclosedbytheDepartmentofHighway Safety andMotorVehiclestoanindividual,firm,corporation,orsimilarbusinessentitywhoseprimary businessinterestistoresellorredisclosethepersonalinformationtopersonswhoareauthorizedtoreceivesuchinformation.Priortothedepartment'sdisclosureofpersonalinformation,suchindividual,firm,corporation,orsimilarbusinessentity mustfirstenterintoacontractwiththedepartmentregardingthecare,custody,andcontrolofthepersonalinformationtoensurecompliancewiththefederalDriver'sPrivacyProtectionActof1994andapplicablestatelaws.

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2. Anauthorizedrecipientofpersonalinformationcontainedinamotorvehiclerecord,exceptarecipientundersubparagraph(b)12.,maycontractwiththeDepartmentofHighwaySafetyandMotorVehiclestoresellorredisclosetheinformationforanyusepermittedunderthissection.However,onlyauthorizedrecipientsofpersonalinformationundersubparagraph(b)12.mayresellorredisclosepersonalinformationpursuanttosubparagraph(b)12.

3. Any authorizedrecipient whoresellsorredisclosespersonalinformationshallmaintain,foraperiodof5years,recordsidentifyingeachpersonorentity thatreceivesthepersonalinformationandthepermittedpurposeforwhichitwillbeused.Suchrecordsshallbemadeavailableforinspectionuponrequestby thedepartment.

(f) ThedepartmentmayadoptrulestocarryoutthepurposesofthissubsectionandthefederalDriver'sPrivacyProtectionActof1994,

18U.S.C.ss.2721etseq.Rulesadoptedbythedepartmentmayprovideforthepaymentofapplicablefeesand,priortothedisclosureofpersonalinformationpursuanttothissubsection,may requirethemeetingofconditionsby therequestingpersonforthepurposesofobtainingreasonableassuranceconcerningtheidentityofsuchrequestingperson,and,totheextentrequired,assurancethattheusewillbeonlyasauthorizedorthattheconsentofthepersonwhoisthesubjectofthepersonalinformationhasbeenobtained.Suchconditionsmay include,butneednotbelimitedto,themakingandfilingofawrittenapplicationinsuchformandcontainingsuchinformationandcertificationrequirementsasthedepartmentrequires.

(g) ThissubsectionissubjecttotheOpenGovernmentSunsetReviewActinaccordancewiths.119.15andshallstandrepealed

October2,2012,unlessreviewedandsavedfromrepealthroughreenactmentby theLegislature

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