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Attachment E Dom Data Use Agreement - Certificate of Return or Destruction / Sanitization of Confidential Data - Mississippi
What Is Attachment E?
This is a legal form that was released by the Mississippi Division of Medicaid - a government authority operating within Mississippi. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Attachment E Dom Data Use Agreement?
A: Attachment E Dom Data Use Agreement is a document that outlines the terms and conditions for the use and handling of confidential data in Mississippi.
Q: What is the purpose of the Certificate of Return or Destruction/Sanitization of Confidential Data?
A: The purpose of the Certificate of Return or Destruction/Sanitization of Confidential Data is to ensure that any confidential data shared under the Dom Data Use Agreement is either returned or properly destroyed and sanitized.
Q: Who is responsible for providing the Certificate of Return or Destruction/Sanitization of Confidential Data?
A: The entity that received the confidential data is responsible for providing the Certificate of Return or Destruction/Sanitization of Confidential Data.
Q: What happens if the confidential data is not returned or destroyed/sanitized?
A: If the confidential data is not returned or properly destroyed/sanitized, it could lead to breaches of privacy and legal consequences.
Q: What are the consequences of breaching the terms of the Dom Data Use Agreement?
A: Breaching the terms of the Dom Data Use Agreement can result in legal action, penalties, and loss of privileges to access confidential data in the future.
Q: What is the purpose of sanitizing confidential data?
A: The purpose of sanitizing confidential data is to remove any identifying information or sensitive details that could lead to the identification of individuals.
Q: Who should I contact for more information about the Dom Data Use Agreement?
A: For more information about the Dom Data Use Agreement, you should contact the relevant authority or organization that provided you with the agreement.
Form Details:
- The latest edition provided by the Mississippi Division of Medicaid;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Attachment E by clicking the link below or browse more documents and templates provided by the Mississippi Division of Medicaid.
