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DocuSign Envelope ID: 885498D2-1CBA-4928-AE9B-EDEEE17D7376 <br />ATTACHMENT D <br />SOCIAL SERVICES AGENCY (SSA) <br />INFORMATION TECHNOLOGY SECURITY AND USAGE AGREEMENT <br />Declaration <br />I have read and agree to all provisions in the County of Orange Information Technology Security Policy, <br />the County of Orange Information Technology Usage Policy, and the SSA Administrative Policies and <br />Procedures Manual 16 Information Technology Security and Usage. I will adhere to all applicable SSA, <br />County of Orange, State of California, and Federal regulations relating to information technology <br />security, privacy and confidentiality of information. I accept these responsibilities and agree to exercise <br />proper care and to protect all assets while performing my duties. I understand that improper use of <br />County resources and the disclosure of any sensitive, confidential, proprietary or Personal Identity <br />Information (PII) to unauthorized persons during or after separation of my employment at SSA may <br />make me liable for revocation of user privileges, discharge, and administrative, civil and/or criminal <br />prosecution. <br />My signature below affirms I have read, understand and agree to the foregoing statements. <br />Print Name of User <br />Signature of User Date <br />Supervisor of User/Human Resources (HR) Representative: <br />Print Name of Supervisor Signature of Supervisor <br />or HR Representative or HR Representative <br />Date <br />WDM0522 Page 1 of 1 March 1, 2022 <br />