Data Protection Templates

This Form is used for requesting access to certain information or resources in the state of Pennsylvania.

This document is used for applying for a position on the municipal roster in Oregon.

This document acts as a documented process of identifying flaws and introducing safety measures to protect a health organization.

This document provides rules regarding the collection and use of personal identity information in the state of Illinois.

This form is used for requesting information about how your personal information has been shared by a healthcare organization in California.

This document is used to acknowledge the receipt of a secure fax in the state of South Dakota.

This document outlines the privacy practices and policies followed by healthcare providers in New York City. It explains how personal health information is protected and used by healthcare providers.

This Form is used for acknowledging the HIPAA Privacy Practices in South Carolina. It notifies individuals about the privacy practices followed by healthcare providers and allows them to acknowledge receipt of this information.

This document explores the intersection of computer security, privacy, and DNA sequencing, specifically focusing on the potential risks of compromising computers through synthesized DNA and privacy leaks.

This document is used to authorize the disclosure of personal information to a third party and waive certain privacy rights.

This Form is used for authorizing the release of personal information in the state of Connecticut.

This Form is used for reporting a security breach and notifying the Delaware authorities.

This Form is used for submitting data subject requests in the state of Minnesota. It allows individuals to exercise their rights under data protection laws to access, rectify, or delete personal information held by organizations.

This document is used for transferring confidential patient information in the state of New Mexico.

This document is used to keep track of confidential data stored in Ohio.

This form gives patients the permission to disclose their confidential medical records to other individuals or organizations.

This type of document is a Privacy Certificate, which certifies that an organization has implemented appropriate measures to protect the privacy of personal information.

This form is used for entering into a data use agreement for limited data sets under CMS-R-0235L.

This form is used for agreeing to use Centers for Medicare and Medicaid Services (CMS) data containing individual identifiers.

This form is used for issuing a floating rate global note, which is a type of bond with a variable interest rate. It allows the issuer to adjust the interest rate based on market conditions.

This document is a supplement to a standard questionnaire and focuses specifically on collecting personally identifiable information. It is used to gather sensitive information about individuals.

This form is used for obtaining consent from individuals in Iowa to release their personal information.

This document is a checklist that provides guidelines for auditing computer systems in the state of Iowa. It helps ensure that computer systems are secure, efficient, and in compliance with relevant regulations.

This document is for enforcing a nondisclosure agreement related to the embargoed data release by the leadership and staff in Kentucky.

This form is used for filing a complaint with the Consumer Services Division in Iowa.

This form is used for requesting data as a data subject in the state of Minnesota.

This document is a Data Release Agreement specific to the Northwest Territories in Canada. It outlines the terms and conditions for the release of certain data in the region.

This document provides information about the privacy practices of healthcare providers in New York City, specifically for individuals who speak Haitian Creole. It outlines how personal health information is safeguarded and the rights of patients regarding their medical records.

This form is used for authorizing the disclosure, sharing, and use of individual information in the state of Oregon. It allows individuals to give consent for their personal information to be shared and used by specific parties or organizations.

This Form is used for collecting confidential information in the state of Oregon.

This form is used for filing complaints related to the protection of personal identifiable information (PII) in the state of West Virginia.

This Form is used for applying to amend personal information in Queensland, Australia under the Information Privacy Act.

This document is used to formalize the agreement between parties in North Carolina regarding the sharing and use of data.

This Form is used for signing a confidentiality agreement in the state of Washington.

This document is a redaction request form specific to the state of Connecticut. It is used to request the removal or concealment of certain information from a public record.