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Fair Credit Reporting Act <br />Personal and/or Credit Use & Security <br />Employee Responsibility Form <br />I, , have read and understand Elk River Municipal <br />(Employee Name) <br />Utilities policies regarding the request and use of credit information received, as <br />mandated by the Fair Credit Reporting Act, 15 U.S.C. Section 1681 et seq. ("FCRA"). <br />In addition, I acknowledge that I have received training in Elk River Municipal Utilities <br />policies concerning credit information use, disclosure, storage and destruction. <br />In consideration of my employment or compensation from Elk River Municipal <br />Utilities, I hereby agree that I will not at any time — either during my employment or <br />association with Elk River Municipal Utilities or after my employment or association <br />ends — use, access or disclose personal and/or credit information to any person or entity, <br />internally or externally, except as is required and permitted in the course of my duties <br />and responsibilities with Elk River Municipal Utilities, as set forth in Elk River <br />Municipal Utilities privacy policy and procedures or as permitted under FCRA. I <br />understand that this obligation extends to any personal and/or credit information that I <br />may acquire during the course of my employment or association with Elk River <br />Municipal Utilities, whether in oral, written or electronic form and regardless of the <br />manner in which access was obtained. <br />I understand and acknowledge my responsibility to apply Elk River Municipal Utilities <br />policies and procedures during the course of my employment or association. I also <br />understand that unauthorized use or disclosure of credit information will result in <br />disciplinary action, up to and including termination of employment or association with <br />Elk River Municipal Utilities and the imposition of civil penalties and criminal penalties <br />under applicable federal and state law, as well as professional disciplinary action as <br />appropriate. <br />I understand that this obligation will survive the termination of my employment or end <br />of my association with Elk River Municipal Utilities, regardless of the reason for such <br />termination. <br />Signature <br />Name <br />Date <br />