As an employee of District 2 Public Health, I recognize that I will have
access to very sensitive personal records and information. I hereby
acknowledge and agree that I will access and use such records and
information solely and exclusively for official, authorized purposes.
I understand that if I access or use records or information obtained
through my employment for any non-official purpose, I will be subject to
disciplinary action up to and including dismissal from employment, as well
as possible civil or criminal liability, depending on the circumstances.
I acknowledge by my signature below that I have read this Notice, that I
understand and agree to what is stated, and that I have been given an
opportunity to ask any questions prior to my signing this document. I
further understand that a copy of this notice will be maintained in my
employee personnel file.
Employee’s Name
(Print)_________________________________________________________
Employee’s
Signature____________________________________________________________
Date Signed__________________