"Non-disclosure Agreement" - Utah

Non-disclosure Agreement is a legal document that was released by the Utah Department of Workforce Services - a government authority operating within Utah.

Form Details:

  • Released on May 1, 2016;
  • The latest edition currently provided by the Utah Department of Workforce Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Utah Department of Workforce Services.

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ATTACHMENT ____
NON-DISCLOSURE AGREEMENT
Each Contractor/Grantee employee or volunteer and each Sub-Contractor/Grantee employee
or volunteer who has access to Customer personal information must sign this Non-Disclosure
Agreement at the beginning of the grant or upon hire. A signed copy of this Agreement must be
in each employee’s/volunteer’s file subject to inspection and review by the Department of
Workforce Services (DWS).
The Contractor/Grantee and its employees and volunteers will comply with the following
measures to protect the privacy of the information released under this agreement against
unauthorized access or disclosure.
1.
The information shall be used only to the extent necessary to assist in the
purposes identified within this Agreement and shall not be re-disclosed for any
purposes not specifically authorized in this contract.
2.
The information shall be stored in a place physically secure from access by
unauthorized persons.
3.
Information in electronic format shall be stored and processed in such a way that
unauthorized persons cannot retrieve the information by computer, remote
terminal or any other means.
4.
Precautions shall be taken to ensure that only authorized personnel are given
access to on-line files.
5.
The Contractor/Grantee has provided me instruction regarding the private nature
of the information and I understand I am subject to State and Federal law
penalties for unauthorized disclosure of information.
____________________________________________________
Signature
Date
____________________________________________________
Print Name
Page 1 of 1
Rev. 05/2016 ABM
ATTACHMENT ____
NON-DISCLOSURE AGREEMENT
Each Contractor/Grantee employee or volunteer and each Sub-Contractor/Grantee employee
or volunteer who has access to Customer personal information must sign this Non-Disclosure
Agreement at the beginning of the grant or upon hire. A signed copy of this Agreement must be
in each employee’s/volunteer’s file subject to inspection and review by the Department of
Workforce Services (DWS).
The Contractor/Grantee and its employees and volunteers will comply with the following
measures to protect the privacy of the information released under this agreement against
unauthorized access or disclosure.
1.
The information shall be used only to the extent necessary to assist in the
purposes identified within this Agreement and shall not be re-disclosed for any
purposes not specifically authorized in this contract.
2.
The information shall be stored in a place physically secure from access by
unauthorized persons.
3.
Information in electronic format shall be stored and processed in such a way that
unauthorized persons cannot retrieve the information by computer, remote
terminal or any other means.
4.
Precautions shall be taken to ensure that only authorized personnel are given
access to on-line files.
5.
The Contractor/Grantee has provided me instruction regarding the private nature
of the information and I understand I am subject to State and Federal law
penalties for unauthorized disclosure of information.
____________________________________________________
Signature
Date
____________________________________________________
Print Name
Page 1 of 1
Rev. 05/2016 ABM