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❑ <br />_ <br />Special investigative unit, subrogation department and claims department of a private or public insurance company for the <br />purposes of detecting, investigating or preventing fraud. <br />❑ <br />Financial institution for the purposes of (a) detecting, investigating or preventing fraud, (b) compliance with federal or state <br />laws or regulations, (c) collecting debt on their own behalf, and (d) such other uses as shalt be ap ro riate and lawful. <br />Collection department of a creditor. <br />❑ <br />Collection company acting on behalf of a creditor or on its own behalf. <br />❑ <br />Other public or private entity for the purpose of detecting,investigating or preventing fraud. Describe your business: <br />2. AUTHORIZED USE (At least one (1) must be checked to receive Driver's License Numbers) <br />Location of suspects or criminals. <br />❑ <br />Location of non -custodial parents allegedly owing child support and ex -spouses allegedly owing spousal support. <br />❑ <br />Location of individuals alleged to have failed to pay taxes or other lawful debts. <br />❑ <br />Identity verification. <br />❑ <br />_ <br />Other uses similar to those described above. Describe your use: <br />By selecting above, the Customer certifies that it is an Authorized User, and that it will use Driver's License Numbers only for the <br />purpose(s) it designated on the Authorized Use List and for no other purpose(s). <br />SECTION fib, DEATH MASTER FILE <br />For access to Limited Access DMF Data only. <br />❑ No permissible purpose. Proceed to AUTHORIZATION AND ACCEPTANCE OF TERMS <br />Definitions. For purposes of this Certification, these terms are defined as follows: <br />a. DMF Agreement: The Limited Access Death Master File Non-federal Licensee Agreement for Use and Resale executed by <br />LexisNexis Risk Data Retrieval Services LLC, on behalf of itself, its affiliates and subsidiaries, and its and their successors, <br />with the federal government (NTIS, as below defined). The DMF Agreement form is found at <br />www.lexisnexis com/risklDMFDocuments. <br />b. Certification Form: The Limited Access Death Master File Subscriber Certification Form executed by LexisNexis Risk Data <br />Retrieval Services LLC, on behalf of itself, its affiliates and subsidiaries, and its and their successors, with the federal <br />government (NTIS, as below defined). The Certification Form is found at www.lexisnexis.com/-rLsl_<LDMFDocument5. <br />c. DMF: The federal Death Master File. <br />d. NTIS: National Technical Information Service, U.S. Department of Commerce <br />e. Open Access DMF: The DMF product made available through LN, which obtains the data from NTIS, and which does not <br />include DMF with respect to any deceased individual at any time during the three -calendar -year period beginning on the <br />date of the individual's death. Open Access DMF data should not be accessed pursuant to this Certification but should be <br />accessed pursuant to a customer contract for such DMF data that is not Limited Access DMF. <br />f. Limited Access DMF: Limited Access DMF includes DMF data with respect to any deceased individual at any time during <br />the three -calendar -year period beginning on the date of the individual's death. Limited Access DMF- is made available <br />through LN as a Certified Person, by NTIS. This Certification governs Customer's access to Limited Access DMF from LN <br />(or the applicable LN affiliate), whether full or partial Limited Access DMF records or indicators of deceased status, and via <br />any format, including online, XML feed, or in-house file processing through LN. <br />II. Certification. <br />Customer's access to the Limited Access DMF requires certification of purpose, as required by 15 CFR Part 1110 and section 1001 of <br />Title 18, United States Code. Customer hereby certifies that it has the indicated permissible purpose(s) under part (a) of this Section <br />II ("Certification") and that it meets the requirements of part (b) of this Section II: <br />(a) Such Customer has a legitimate fraud prevention interest, or has a legitimate business purpose pursuant to a law, governmental <br />rule, regulation, or fiduciary duty, will use the Limited Access DMF only for such purpose(s), and specifies the basis for so <br />certifying as (choose any applicable purposes that apply to Customer's use): <br />❑ Legitimate Fraud Prevention Interest: Customer has a legitimate fraud prevention interest to detect and prevent <br />fraud and/or to confirm identities across its commercial business and/or government activities. <br />X❑ Legitimate Business Purpose Pursuant to a Law, Governmental Rule, Regulation, or Fiduciary Duty: <br />Customer has one or more of the purposes permitted under d2 USC 1306c including fraud prevention and ID verification <br />purposes. Customer's specific purpose(s) for obtaining Limited Access DMF data under this Certification is: <br />❑ Fraud Prevention and identity verification purposes <br />LNRS Non -FORA Package-Govt (Q3.I8.v1) Confidential Page 5 of 6 <br />