Data_Destruction_Affidavit.pdf
PDF 74 KB Posted
- Attached to
- Print and Mail Election Materials
- Solicitation number
- RFP GGS-26-0079
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This document is an Affidavit of Elimination and Return of Voter Registration Data from the City of Phoenix City Clerk Department, Elections Division. The affidavit is a legal document requiring a company that has been provided with voter registration data for a specific city election to certify the complete deletion and return of that sensitive information after the contracted services have been fulfilled. The form requires the recipient to affirm that the voter registration data was used solely for the intended purpose of providing services under the specific contract and that all copies of the data have been permanently eliminated from all networks, equipment, and electronic memory.
The document serves as a critical data protection mechanism, ensuring that voter registration information is not retained or misused beyond its original contractual intent. The affidavit includes spaces for the recipient to document the specific election date, service provided, company details, and signatures, with a final section for the City Clerk Department to acknowledge receipt of the completed affidavit. This form represents a standard procedural safeguard to maintain the confidentiality and integrity of voter registration data in municipal election processes.
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Text version
Affidavit of Elimination and Return of Voter Registration Data
Election Date: __________________________
Service Provided: __________________________
I, the undersigned, hereby declare and affirm that I received from the City of Phoenix, City Clerk Department, Elections Division, and was responsible for the use of voter registration data for registered voters in the City of Phoenix. This data was necessary for the provision of services to and for the City under contract with my company in connection with a City election. Under the terms of the agreement with the City, I understand that this data is protected and was provided to this company for the sole purpose of providing services under the contract by which it was provided, and cannot be used by my company for any other purpose.
Further, that the job for which the data was provided has been completed, and I hereby declare and affirm that the data has been permanently deleted from our or any subcontractor’s network, equipment and any other electronic memory, and that no copy of the data or any part thereof has been made or retained, and I affirm that the compact disk or other media, if any, on which the data was provided has been returned to the City.
Signature Date
Printed Name Title:
Company Name Address
Data and/or Affidavit Received for City Clerk Department by:
Name Date
File details come from the government source that posted it. Updated .