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 serves as a formal declaration by a contractor who has received and used voter registration data for a specific city election. The contractor affirms that the voter registration data was provided solely for the purpose of delivering contracted services related to the election, and that upon completion of the job, all data has been permanently deleted from their network, equipment, and electronic memory.
The affidavit requires the contractor to confirm that no copies of the data have been retained and that any physical media (such as compact disks) on which the data was originally provided have been returned to the City. The document provides spaces for the contractor to enter details such as the election date, service provided, signature, printed name, title, company name, and address. Additionally, there is a section for the City Clerk Department to record the receipt of the data and affidavit, including the name of the receiving personnel and the date of receipt.
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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 .