NOTICE TO PROVIDER OF INFORMATION
This Notice describes how personal information you may be asked to provide is used by the County when that information could be classified as Private or Controlled under the Government Records Access and Management Act (GRAMA).
As a client of the Substance Abuse Services office you are entitled to receive notice about our
information collection practices. It is important for you to understand that information
you provide as a requirement to receive services may be classified as Private and
Controlled under the Government Records Access and Management Act.
What is Private and Controlled information? These are records or other documents held by Salt Lake County which includes your personal information such as home address, home telephone number, birth date, social security number, certain medical or financial information, entitlement to social services, home ownership and living conditions, and similar items of a personal nature.
Why are you being asked to provide Private and Controlled information? In order to more efficiently provide government services the Substance Abuse Services requests your Private information in order to do the following:
As a client of the Salt Lake County Division of Substance Abuse you are entitled to receive notice about our information collection practices. It is important for you to understand that information you provide as a requirement to receive services may be classified as Private and Controlled under the Government Records Access and Management Act.
What is the County’s intended use of this information?
The division collects personal data in order to properly assess and place clients in the appropriate treatment.
What are the consequences for refusing to Private and Controlled information?
If you choose to refuse to provide information requested or required by our agency, you may not be eligible to receive our services.
What is the County’s intended use of this information?
Substance Abuse Services
collects personal data in order to meet specific statutory requirements.
What are the consequences for refusing to Private and Controlled information? If you choose to refuse to provide information requested or required by our agency, you may not be eligible to receive our services.
Who does the County share this information with?
Substance Abuse Services
shares information with:
The division shares information with: other related government and law enforcement agencies.
Substance Abuse Services
2001 South State Street #S2300
Salt Lake City, UT
84190
Contact Zac Case, Fiscal Manager
Phone: 801 468–2058 0000
zcase@slco.org
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