Data Security Certification Statement

Form Template

By signing and submitting the Data Security

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Certification Statement mobile app you certify your compliance with “Security and Confidentiality Guidelines.” You acknowledge that all standards included in the Security and Confidentiality Guidelines have been implemented unless otherwise justified in an attachment to this statement. You agree to apply the standards to all local/state staff and contractors funded that have access to or maintain confidential public health data. You ensure all sites where applicable public health data are maintained are informed about the standards. Documentation of required local data policies and procedures is on file with the ORP and available upon request

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