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E. Corporate Policies <br />Employees must exercise utmost caution when sending faxes to parties outside of Virtru. <br />Faxes containing Personally -Identifiable Information should only be received on and sent <br />to user or departmental specific fax machines and not to systems that have general access. <br />In cases where Personally -Identifiable Information is received from outside on a non - <br />departmental specific fax machine, the receiving department shall notify the Virtru <br />Privacy Officer of the source of such information. The employee shall communicate the <br />approved fax number to the external entity and record such actions. Should PHI be <br />disclosed by fax to an inappropriate party, Virtru shall, to the extent possible, remediate <br />such disclosures. <br />All fax documents sent by Virtru employees shall contain the following statement: <br />This fax is intended for the individual/individuals or entity/entities named above and may be <br />covered by copyrights, business partner confidentiality agreements, non -disclosures or other legally <br />binding instruments. If you are not the intended recipient, do not read, copy, use or disclose the <br />contents of this communication to others. Immediately notify the sender by reply fax, destroy all <br />hard copies and delete this document from all systems. Thank you! <br />F. Procedure <br />In the cases where data that contains Personally -Identifiable Information is disclosed by <br />fax machine use to an inappropriate party, the following procedure shall be followed: <br />1. The receiving party shall be contacted by telephone at the earliest opportunity <br />and requested to destroy the fax without reading. <br />2. The name of the company, the person contacted, the date and time shall be <br />recorded as well as any comments made by the person receiving such calls. <br />3. A fax shall also be sent to the receiving party containing the same instructions <br />as detailed for the phone call requesting a return fax message indicating that <br />the requested action was taken. <br />4. The cause of the inappropriate disclosure shall be determined and reported to <br />the Virtru Privacy Officer. <br />Methods to prevent a reoccurrence of the inappropriate disclosure shall be formulated <br />and put into place. <br />Any additional actions prescribed by regulations shall be performed to the extent <br />possible. <br />G. Enforcement <br />Any employee found to have violated this policy shall be subject to disciplinary action, up <br />to and including termination of employment. In the case where inappropriate access, use <br />Rev.2015.8.25 <br />22 <br />