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® �. Employment EDD Agreement No.0000000399I
<br />evelopmEDD/Santa Ana Police Department
<br />_ DDepartmenentt EDD Customer Codes: E00642, E00663
<br />stare of [aliforniR ATTACHMENT NO.E-1
<br />Page 1 of 1
<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
<br />be confidential or sensitive. Confidential and sensitive information are not open to the public and require special precautions to protect It from
<br />wrongful access, use, disclosure, modification, and destruction. The EDD strictly enforces information security. If you violate these provisions,
<br />you may be subject to administrative, civil, and/or criminal action.
<br />(AAIl0an employee or Santa Ana Police Department
<br />PRWTYWRINLE PARITYWROPLOYER'e11AAE
<br />hereby acknowledge that the confidential and/or sensitive records of the Employment Development Department are subject to strict confidentiality
<br />requirements imposed by slate and federal law include the Unemployment Insurance Code (UIC) §§1094 and 2111. the California Civil Cade (CC) §1798
<br />et seq., the California Panel Code (PC) §502, Title 5, USC §552a, Code of Federal Regulations, Title 20 pan 603, and Tille 18 USC §1905.
<br />M' M ' Acknowledge that my supervisor and/or the Contract's Confidentiality and Data Security Monitor reviewed with me the confidentiality and security
<br />1MIX requirements, policies, and administrative processes of my organization and of the EDD.
<br />nn
<br />t• -0. Acknowledge responsibility for knowing the classification of the EDD information I work with and agree to refer questions about the classification
<br />UnruL of the EDD information (public, sensitive, confidential) to the person the Contract assigns responsibility for the security and confidentiality of the
<br />,M m EDD's data.
<br />Acknowledge responsibility for knowing the privacy, confidentiality, and data security taws that apply to the EDD information I have been granted
<br />iMruL access to by my employer, including UIC §§1094 and 2111, California Government Code § 15619, CC § 1798.53, and PC § 502.
<br />m M- Acknowledge that wrongful access, use, modificagon, or disclosure of confidential information may be punishable as a crime and/or result in
<br />disciplinary and/or civil action taken against me--4ncluding but not limited to: reprimand, suspension without pay, salary reduction, demotion, or
<br />,v1 dismissal —and/or fines and pen allies resulting from criminal prosecution or civil lawsuits, and/or termination of contract.
<br />Acknowledge that wrongful access, inspection, use, or disclosure of confidential information for personal gain, curiosity, or any non -business
<br />imnnL related reason is a crime under stale and federal laws.
<br />morn Acknowledge that wrongful access, use, modification, or disclosure of confidential information is grounds for immediate termination of my
<br />�L organization's Contract with the EDD.
<br />Agree to protect the folloving types of the EDD confidential and sensitive information:
<br />I'Mul 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 EDO's information on either paper or electronic form by.
<br />wirut • 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 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 devi r media.
<br />"I certify that I have read and initialed the confidentiality statements prin v ill abi a by them,"
<br />(`�itR�r•„o ml�t���
<br />Print Full Name (last, first, MI) Signature
<br />Santa Ana Police Department I2�2YIZZ
<br />Print Name of Requesting Agency _ Date Signed
<br />Check the:appropriate box:
<br />❑ Employee ❑ Student
<br />❑ Subcontractor ❑ Volunteer
<br />❑ Other
<br />Attachment E-1 (Rev 11-21)
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