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Customer (Company) Name:
<br />DBA:
<br />NON-FCRA PERMISSIBLE USE CERTIFICATION
<br />Santa Ana Police Department
<br />Address 60 Civic Center Plaza City, State, Zip: Santa Ana, CA 92701
<br />Contact Name: Boris Duran Phone: 714-245-8236
<br />REQUIRED) please describe vour purpose of use: Criminal investigation
<br />Definitions, Gramm -Leach -Bliley Act, (15 U.S.C. § 6801, at seq.) and related state laws (collectively, the "GLBA'
<br />Drivers Privacy Protection Act, (18 U.S.C. § 2721 et seq.) and related state laws (collectively, the "DPPA'
<br />Law Enforcement Agencies OUI , Review and, if appropriate, certify to the following: Customer represents and warrants that it will
<br />use the LN Services solely for law enforcement purposes, which comply with applicable privacy laws Including, but not limited to the
<br />GLBA and the DPPA. To certify, check here: X❑ Proceed to SECTION 3. QUALIFIED ACCESS
<br />SECTION 1. GLBA EXCEPTION/PERMISSIBLE PURPOSE - NOT APPLICABLE TO LAW ENFORCEMENT
<br />Some LN Services use and/or display nonpublic personal information that is governed by the privacy provisions of the GLBA. Customer
<br />certifies it has the permissible purposes under the GLBA to use and/or obtain such information, as marked below, and Customer further
<br />certifies it will use such information obtained from LN Services only for such purpose(s) selected below or, if applicable, for the purpose(s)
<br />indicated by Customer electronically while using the LN Services, which purpose(s) will apply to searches performed during such electronic
<br />session:
<br />❑ No applicable GLBA exception/permissible use. Proceed to SECTION 2. DPPA PERMISSIBLE USES
<br />(At least one (1) must be checked to be permitted access to GLBA data)
<br />❑
<br />As necessary to effect, administer, or enforce a transaction requested or authorized by the consumer.
<br />❑
<br />As necessary to effect, administer, or enforce a transaction requested or authorized by the consumer by verifying the
<br />identification information contained in applications.
<br />❑
<br />To protect against or prevent actual or potential fraud, unauthorized transactions, claims or other liability.
<br />❑
<br />In required institutional risk control programs.
<br />❑
<br />In resolving consumer disputes or inquiries.
<br />❑
<br />Use by persons, or their representatives, holding a legal or beneficial interest relating to the consumer.
<br />❑
<br />Use by persons acting in a fiduciary or representative capacity on behalf of the consumer.
<br />❑
<br />In complying with federal, state or local laws rules and other applicable legal requirements.
<br />❑
<br />To the extent specifically permitted or required under other provisions of law and in accordance with the Right to Financial
<br />Privacy Act of 1978, to law enforcement agencies (including a Federal functional regulator, the Secretary of Treasury, a
<br />State insurance authority, or the Federal Trade Commission), self -regulatory organizations, or for an investigation on a
<br />matter related to public safety.
<br />SECTION 2. DPPA PERMISSIBLE USES - NOT APPLICABLE TO LAW ENFORCEMENT
<br />Some LN Services use and/or display personal information, the use of which is governed by the DPPA. Customer certifies it has a
<br />permissible use under the DPPA to use and/or obtain such information and Customer further certifies it will use such information obtained
<br />from LN Services only for one (1) or more of the purposes selected below or for the purpose(s) indicated by Customer electronically while
<br />using the LN Services, which purpose(s) will apply to searches performed during such electronic session:
<br />❑ No permissible use. Proceed to SECTION 3. QUALIFIED ACCESS
<br />(At least one (1) must be checked to be permitted access to DPPA data)
<br />❑
<br />For use in connection with any civil, criminal, administrative, or arbitral proceeding in any federal, state, or local court or
<br />agency or before any self -regulatory body, including the service of process, investigation in anticipation of litigation, and
<br />the execution or enforcement of judgments and orders, or pursuant to an order of a federal state or local court.
<br />❑
<br />For use in the normal course of business by a legitimate business or its agents, employees, or contractors, but only —
<br />(A) to verify the accuracy of personal information submitted by the individual to the business or its agents, employees, or
<br />contractors; and
<br />(B) if such information as so submitted is not correct or is no longer correct, to obtain the correct information, but only
<br />for the purposes of preventing fraud by, pursuing legal remedies against, or recovering on a debt or security interest
<br />against, the individual.
<br />_
<br />❑
<br />Use by a government agency, but only in carryI g out its functions.
<br />LNRS Non-FCRA Package-Govt (Q3.18.v1) Confidential Page 3 of 6
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