|
EDDprayment '
<br />17evclnpmerrl EDD Contract No,M0113589
<br />t7 c p a e t m c n t EDD Customer Code 140.E00663
<br />EDDlSAPD
<br />t,fCe oP G t(fornin ATTACHMENT NO,D1
<br />EMPLOYMENT DEVELOPMENT DEPARTMENT
<br />CONFIDENTIALITY AGREEMENT
<br />Information resources maintained by the State of California Employment Development Department (EDD) and provided to your agency may be
<br />confidential or sensitive. Confidential and sensitive Information are not open to the public and require special precautions to protect it from wrongful
<br />access, use, disclosure, modification, and destruction. The EDD strictly enforces information security. If you violate these provisions, you may be
<br />subject to adminis�tr e, civil. and/orcriminal action.
<br />2 iT i �aA4t/ an employee of Santa Ana Police Department
<br />PRInl Yewli RAF — — PNInrYWneFf%4aYEaSlU1
<br />hereby acknowledge that the confidential and/or sensitive records of the Employment Development Depadmentare subject to strict confidentiality requirements
<br />imposed by state and federal law include die Unemployment Insurance Code (UIC) §§1094 and 2111, the California Civil Code (CC) §1795 or seq., the California
<br />Pen Coda (PC) §502, Titie 5, USC §552a, Code of Federal Regulations, 1*41 20 part 603, and Title 15 USC §1905.
<br />acknowledge that my supervisor and/or the Contract's Confidentiality and Data Security Monitor reviewed with me the confidentiality and security
<br />IMsu4 requirements, policies, and administrative processes of my organization and of the EDD.
<br />acknowledge responsi'l lfty for knowing the classification of the EDD Information I work with and agree to refer questions about the classification of the
<br />11114 EDD Information (public, sensitive, confidential) to the person the Contract assigns responsibility for the security and confidentiality of the EDD's data.
<br />acknowledge responsibility for knowing the privacy, confidentiality, and data security taws that apply to the EDD information 1 have been granted access
<br />zIIpiW. to by my employer, Including UIC §§1094 and 2111, California Government Cade § 15619, CC § 1798,53, and PC § 502,
<br />acknowledge that wrongful access, use, modification, or disclosure of confidential information maybe punishable as a crime and/or result in disciplinary
<br />uOTIA4 and/or civil action taken against Pie —including but notlimitedto: reprimand, . suspension without pay, salary reduction, demotion, or dismissal —and/or
<br />I lines and penalties resulting from criminal prosecution or civil lawsuits, andlor termination of contract-
<br />%f5 acknowledge that wrongful access, ins peclion, use, or disclosure of confidential information for personal gain, curiosity, or any non. business related
<br />reason is a crime under slate and federal Imes.
<br />Aacknowledge that wrongful access. use, modification, or disclosure of conlldentiat information is grounds for immediate termination of my organization's
<br />uano-x Contract with the EDD.
<br />_ agree to protect the following types of the EDD confidential and sensitive information:
<br />INITA . Wage information . Applicant Information
<br />• Employer Information . Proprietary Information
<br />• Claimant Information • Operational Information (manuals, guidelines, procedures)
<br />• Tax Payer Information
<br />hereby agree to protect the EC as infomlalion on either paper or electronic form by:
<br />untm4 . Accessing or using the EDD supplied information only as specified in the Contract for the performance of the specific work I am assigned.
<br />• Never accessing information for curiosity or personal reasons.
<br />• Never showing or discussing sensitive or confidential information to of with anyonewho does not have the need to know.
<br />• Placing sensitive or confidential information only in approved locations.
<br />• Never removing sensitive Of confidential information from the work silo vllhout authorization.
<br />• Following encryption requirements for all personal, sensitive, or confidential information in any portable device or media..
<br />"I certify that I have read and initialed the confidentiality statements above and will abide by them."
<br />P ti Full Name (last, first, %It-) Sign re
<br />Santa Ana Police Department /C) 9 /q
<br />Print Name of Requesting Agency 9610 Signed
<br />Check the approprfafe box:
<br />Cf1 Employee ❑ Student
<br />❑ Subcontractor ❑ volunteer
<br />❑ Other
<br />Explain
<br />Attachment D1 (Rev 0720171
<br />
|