Attachment M Confidentiality Statement.pdf

State of Arkansas

Department of Finance and Administration

Arkansas Department of Finance and Administration - Confidentiality Agreement v.20240306 Page 1 of 2

Arkansas Department of Finance and Administration Confidentiality Agreement

PURPOSE:

The purpose of this Agreement is to prevent the Unauthorized Disclosure of Confidential Information, as defined below, provided by or received from the The State of Arkansas.

DEFINITIONS:

For the purposes of this Agreement, the following words or terms shall have the following meanings:

A. “Confidential Information” means any information provided by the State of Arkansas detailing its business processes, financial processes, financial statements, budgets and projections, personnel information, system specifications, network information, software information, or other personally identifiable information whether provided orally, in writing, or by any other media, that was or will be:

1. Received or learned by me, the undersigned, in my performance of services for the State of Arkansas; or,

2. Created by me, the undersigned, in my performance of services for the State of Arkansas.

Exclusions from “Confidential Information” include information that is:

1. Publicly known at the time of disclosure by The State;

2. Discovered or created by me, the undersigned, prior to disclosure by The State;

3. Discovered by me, the undersigned, through legitimate means other than disclosure by The State; or,

4. Disclosed by me, the undersigned, with the express prior written approval of The State.

B. “Personally Identifiable Information” (PII) is any information about an individual maintained by an agency with respect to, but not limited to, education, financial transactions, medical history, and criminal or employment history, and information that can be used to distinguish or trace an individual’s identity (e.g., name, Social Security Number, date and place of birth, mother’s maiden name, biometric records), including any other personal information linked or linkable to an individual.

C. “State of Arkansas” and “The State”, used interchangeably herein, means the Arkansas Department of Finance and

Administration, or other state departments, agencies, boards, commissions, or institutions of higher education, of the

State of Arkansas, or their agents thereof.

D. “Unauthorized Disclosure” is any unauthorized access to, destruction of, modification of, acquisition of, or disclosure of

Confidential Information.

TERMS AND CONDITIONS:

A. Term: Subject to statutory or regulatory requirements to the contrary, the non-disclosure provisions of this Agreement shall remain in perpetuity.

B. I, the undersigned, do hereby agree to the following:

1. To hold and maintain the Confidential Information in strictest confidence for the sole and exclusive benefit of The

State;

2. To carefully restrict access to Confidential Information in accordance with my assigned duties, and applicable federal and state privacy laws and regulations, in provision of services to The State;

3. I shall not, use for my own benefit, publish, copy, or otherwise disclose to others, or permit the use by others for their benefit or to detriment of The State, any Confidential Information;

State of Arkansas

Department of Finance and Administration

Arkansas Department of Finance and Administration - Confidentiality Agreement v.20240306 Page 2 of 2

4. I shall return any and all records, notes, and other written, printed, or tangible materials in my possession pertaining to

Confidential Information if The State requests it in writing;

5. I shall destroy any and all records, notes, and other written, printed, or tangible materials in my possession pertaining to Confidential Information if The State requests it in writing; and,

6. To notify DFA OIS Technical Services by phone at (501) 683-2183 or by email to tech.support@dfa.arkansas.gov, immediately in the event of an actual or suspected Unauthorized Disclosure.

CERTIFICATION AND ACKNOWLEDGMENT

OF

Arkansas Department of Finance and Administration

Confidentiality Agreement

By signing this agreement, I certify I understand the terms and provisions and accept responsibility for adhering to the same.

I understand that violation of this agreement may result in referral of the matter to state and/or federal authorities.

Organization:

Name:

Telephone Number:

Email Address:

Signature: Date: