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*^ Umpioyment EDD Contract No.M011358EDO <br />0 t7 p i op m e n/ <br />t) pair l 1110 fit t EDD Customer Code No.ED0663 <br />EDD/SAPD <br />S t ii i s a i_, C T 1 if a r^n i,e� ATTACHMENT NO. D1 <br />Page 1 of 1 <br />EMPLOYMENT DEVELOPMENT DEPARTMENT <br />CONFIDENTIALITY AGREEMENT <br />Information resources maintained by (he Stale 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 adrinnish: i a, civil, and/or criminal action. <br />j�C>�t1�rJ an employee of Santa Ana Police0epartment <br />FAW YW n NNW na1NT YOUREWLOYEaa NAtE <br />hereby acknowledge that the confidential andfor sensitive records of the Employment development Department are subject to sfrld confidentiality requirements <br />imposed by stale and federal law include the Unemployment Insurance Code (UIC) §§1094 and 2111, (he California Civil Code (CC) §1798 at seq., the California <br />,P,e/1n t ode (PC) §602, TiUe 5, USC §562a, Code of Federal Regulations, Title 20 pan 603, and Title ill USC §1905. <br />✓°x acknowledge that mysupervisor andtarthe Comracl'sConfidenhalityand Data 5ecudfyMonitareviewed with methe confidenfialityand security <br />nnna requirements, policies, and administrative processes of my organization and of the EDD. <br />-.X ��� acknowledge responsibility for knowing (he classification of (he EDD information I work Win and ag ree to refer questions about the classification of the <br />NIX EDD Information (public, sensitive, confrdenfiall to the person the contract assigns responsibility (or the security and confidentiality of the EDD•s data. <br />Al acknavledga responsibility for knowing the privacy, confidentiality, and data security laws that apply to the EDD information i have been granted access <br />INN1M to by my employer, Including lit §§1094 and 2111, California Government Code § 15619, CC § 1798.53, and PC § 502, <br />AL11-5 acknowledge that wrongful access, use, modification, or disclosure of confidential information may be punishable as a crime andror result In disdplinary <br />110714 and/or dvil action taken against me —Including but not limited to: reprimand, suspension without pay, salary reduction, demotion, or dismissal —and/or <br />/yy fines and penalties resulting from criminal prosecution or civil lawsuits, and/or termination of conuact. <br />� /75 acknowledge that wrongful access, inspection, use, or disclosure of confidential information for personal gain, curiosity, or any non -business related <br />�yP°,.,,�., reason is a crime under state and federal laws. <br />.G., acknowledge that wrongful access, use, modification, or disclosure of confidential information Is grounds (or immediate termination of myorganization's <br />��Unnrut Contract with the EDD. <br />agree to protect the following types of the EDD confidential and sensitive 1af6tmatIM: <br />1Hp1RL • 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 EDD's information on either paper or electronic form by: <br />1N1r"•E• Accessing or using the EDD supplied information only as specified in Ilia Contract for the performance of the specifiework I am assigned. <br />• Never accessing information for cudosityor personal reasons. <br />• Never showing or discussing sensitive or confidential information to or with anyone who does not have the need to know. <br />• Placing sensitive or confidential information only in approved locations. <br />• Never removing sensitive or confidential information from the work site without 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 print d above and will abide by them:' <br />i7t�vrt/ dl� �` <br />Pi ll Full Name (last, first, Nit) / Sign< r/� <br />Santa Ana Police Department 1<01911Y <br />Print Name of Requesting Agency ^% 1te Signed <br />Qho kthe appropriatebox: <br />Employee El Student <br />❑ Subcontractor ❑ Voturemor <br />CI other <br />Attachment 01 (Rev 0720171 <br />