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Employment EDD Contract No. M7104377
<br />Development EDD Customer Code No.EO0663
<br />Department
<br />_ - EDC7I SAPC1
<br />_tate of t atifornia ATTACHMENT 1140, DI
<br />Page 1 of
<br />EMPLOYMENT DEVELOPMENT DEPARTMENT
<br />CONFIDENTIALITY AGREEMENT
<br />Information resources maintaired by the State of California Employment Development Department (EDD) and provided to your agency may be
<br />confidential or sens1lve. 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 administrative, civil, and/or criminal action,
<br />an employee of Santa Ana Police Do ariment
<br />PRINT YOUR NAME PRINT YOUR EMPLOYER'S NAME
<br />hereby acknowledge that the confidential and/or sens0lve records of the Employment Development Department are subject to strict confidentiality requirements
<br />Imposed by state and federal law Include the California Unemployment Insurance Code (UIC) §§1094 and 2111, the California Civil Code (CC) §1798 et seq., the
<br />California Penal Code (PC) §502, Title 5, USC §552a, Code of Federal Regulations, Title 20 part 603, and Title 18 USC §1905.
<br />acknowledge that my supervisor andlor the Contract's Confidentiality and Data 5ecur€ty Monitor rovlewed with me [he confidentiality and security
<br />INITIAL requirements, policies, and administrative processes of my organization and of the EDD,
<br />acknowledge responsibility for knowing the classification of the EDD information I work with and agree to refer questions about the classification of the
<br />INmAL- EDD information (public, sensitive, ccnffdontiai) to the person the Contract assigns responsibility for the security and confidently#ily of the EOD's data,
<br />acknowledge responsibility for knowing the privacy, confidentiality, and data secudly laws that apply to [he EDD Information I have been granted access
<br />INMAL to by my employer, including UIC §§1094 and 2111, California Government Code § 15619, CC § 1798,53, and PC § 542.
<br />C� acknowledge that wrongful access, use, modification, or disclosure of confldentiat information may be punishable as a crime andlor result In disciplinary
<br />INITIAL and/or civil action taken against me --including but not limited to: reprimand, suspension without pay, salary reduction, demotion, or dismissal---andlor
<br />fines and penalties resulting from criminal prosecution or civil lawsuits, and/or termination of contract,
<br />acknowledge that wrongful access, inspection, use, or disclosure of confidential Information far personal gain, curiosity, or any non -business related
<br />INITIAL reason is a crime under state and federa[ laws.
<br />acknowledge that wrongful access, use, modification, or disclosure of confidential information is grounds for Immediate termination of my organlzatien's
<br />INITIAL Contract with the EDD,
<br />agree to protect the following types of the EDD confidential and sensitive Information:
<br />INITIAL * Wage information * Appllcant Information
<br />• Employer informa[ion * Proprietary Information
<br />* Claimant Information * Operational Information (manuals, guldelires, procedures)
<br />• Tax Payer Information
<br />hereby agree to protect the ED D's Information on either paper or electronic form by:
<br />INITIAL * Accessing or using the EDD supplied information only as specified in the Contract for [he performance of the specific work I am assigned.
<br />• Never accessing informatlon for curioslty 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 />* Pladng 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 />6111 certify that 1 have read and initialed the confidentiality statern r
<br />"rated nd will abide by them."
<br />t� vl
<br />Print Full Name (last, first, MI) Signature
<br />Santa Ana Police Department e t ® U3 a -1
<br />Print Name of Requesting Agency �_ to Signed
<br />F_.. � check the a �ro r
<br />.hack the ,pA _p, late box4
<br />Employee ❑ Student
<br />❑ Subcontractor 0 volunteer
<br />❑ Other —.M---_. .
<br />Explain
<br />Attachment ID1 IRev 051414]
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