CRIMINAL RECORD DECLARATION. The Information Commissioner is under a duty to protect the information and material he holds. This obligation extends to his employees and agents. Since you are or may become such a person please complete the following sections. ……………………………………………. Date of Birth: …………………………………… 1. Have you ever been convicted or found guilty by a Court of any offence in any country (excluding parking but including all motoring offences even where a spot fine has been administered by the police) or have you ever been put on probation or absolutely/conditionally discharged or bound over after being charged with any offence or is there any action pending against you? You need not declare convictions which are “spent” under the Rehabilitation of Offenders Act (1974). Yes/No* (If yes please give details here)

CRIMINAL RECORD DECLARATION. 6.1 The Contractor will require all staff carrying out work for the Commissioner to sign a Criminal Record Declaration in the form attached to this Appendix. 6.2 For Basic Check purposes the Rehabilitation of the Offenders Xxx 0000 applies and the individual is not required to declare spent convictions. 6.3 Where a criminal declaration form has been completed on recruitment to the Contractor, the individual is not required to complete another form. The Information Commissioner is under a duty to protect the information and material he holds. This obligation extends to her employees and agents. Since you are or may become such a person please complete the following sections. 1. Have you ever been convicted or found guilty by a Court of any offence in any country (excluding parking but including all motoring offences even where a spot fine has been administered by the police) or have you ever been put on probation or absolutely/conditionally discharged or bound over after being charged with any offence or is there any action pending against you? You need not declare convictions which are “spent” under the Rehabilitation of Offenders Act (1974). Yes/No* (If yes please give details here) 2. Have you ever been convicted by a Court Martial or sentenced to detention or dismissal whilst serving in the Armed Forces of the UK or any Commonwealth or foreign country? You need not declare convictions which are “spent” under the Rehabilitation of Offenders Act (1974). Yes/No* (If yes please give details here) 3. Do you know of any other matters in your background which might call into question your reliability or suitability to have access to this information and material? Yes/No* (If yes please give details here) - I declare that the information I have given above is true and complete to the best of my knowledge and belief. - I understand that any false information or omission in the information I have given above may disqualify me for employment in connection with Government contracts.

CRIMINAL RECORD DECLARATION. The Board shall ensure that all records and information (including offence declaration and records) obtained pursuant to Regulation of the Education Act or any subsequent regulation or law are stored in a secure location and in a completely confidential manner. Teacher personnel shall not include copies of criminal record checks or offence declarations. Access to such records and information shall be strictly limited to the Executive Officer of Human Resources and those persons named by the Director of Education. The Executive Officer of Human Resources shall advise the Bargaining Unit President of the names of those so designated. Such personnel shall not be members of the Bargaining Unit. The Board shall not release any information about a teacher obtained pursuant to Regulation of the Education Act, or any subsequent regulation or law dealing with the same subject matter, except for the purpose of exercising its statutory obligations.

CRIMINAL RECORD DECLARATION. I will inform the Dental School at the point of my application to USIC if I have been involved in an on-going police investigation, arrested, charged, convicted, cautioned, or reprimanded in relation to any offence. If I am involved in an on-going police investigation, arrested, charged, convicted, cautioned, or reprimanded in relation to any offence during my time as a student registered at USIC or at the University of Sheffield, I will inform the Dental School immediately. I am aware that any such incidents may affect my progression onto the BDS course or continued registration on the BDS course. As part of entry to the BDS course, I must supply a certificate of good conduct from my home country confirming that I do not have a criminal record and will need to undertake a Disclosure and Barring Scheme (DBS) check. Details on when and how to undertake a DBS check will be provided by the Dental School.

CRIMINAL RECORD DECLARATION. 7.1 For posts not requiring a Criminal Records Bureau – Standard Disclosure, the Contractor should arrange for its employees to complete a Criminal Records Declaration Form attached to this Annex. this does not require employees to declare any “spent” convictions. 7.2 The Contractor shall be obliged to notify the Employer of any information that may raise a question mark over the integrity of the individual. Such information should be forwarded to the Employer for assessment and the Employer shall decide whether the individual should be offered employment or not. 7.3 Note that non-British Citizens or those who have resided overseas for more than 6 months in a year, must provide an original criminal records certificate from the country they have resided in, together with a translation into English by an accredited translation agency.

Related to CRIMINAL RECORD DECLARATION

Criminal Record Check The Employer will pay for the cost of any criminal records checks required as a condition of continued employment.
Criminal Records Check Except as provided by Governor’s executive order or state or federal law as implemented by Agency rule or policy, the Employer will not require a criminal records check on any current employee in his or her current position if the requirement was not in place when the employee was appointed to the position. Agencies will send Agency rules, policies, and subsequent changes to SEIU Headquarters. Upon notification, the Union may exercise its rights pursuant to Article 5 of this agreement as it applies to changes in Agency rule or policy implementing Governor’s executive orders or state or federal laws regarding criminal records check requirements.
Criminal Records Bureau Checks The Academy shall comply with the requirements of paragraph 4 of the Schedule to the Education (Independent School Standards) (England) Regulations 2003 (as amended) in relation to carrying out enhanced criminal records checks, obtaining enhanced criminal records certificates and making any further checks, as required and appropriate for members of staff, supply staff, individual Governors and the Chair of the Governing Body.
Special Record Dates The Company may, but is not required to, fix a record date for the purpose of determining the Holders entitled to consent or take any other action in connection with any amendment, supplement or waiver pursuant to this Article 8. If a record date is fixed, then, notwithstanding anything to the contrary in Section 8.04(A), only Persons who are Holders as of such record date (or their duly designated proxies) will be entitled to give such consent, to revoke any consent previously given or to take any such action, regardless of whether such Persons continue to be Holders after such record date; provided, however, that no such consent will be valid or effective for more than one hundred and twenty (120) calendar days after such record date.
Educational Records Educational Records are official records, files and data directly related to a student and maintained by the school or local education agency, including but not limited to, records encompassing all the material kept in the student’s cumulative folder, such as general identifying data, records of attendance and of academic work completed, records of achievement, and results of evaluative tests, health data, disciplinary status, test protocols and individualized education programs. For purposes of this DPA, Educational Records are referred to as Student Data. NIST: Draft National Institute of Standards and Technology (“NIST”) Special Publication Digital Authentication Guideline.
Official Record The Seller agrees that this Agreement is and shall remain at all times before the time at which this Agreement terminates an official record of the Seller as referred to in Section 13(e) of the Federal Deposit Insurance Act.
Official Records The resolutions of the Board of Directors of the Transferor’s Managing Member approving each of the Transaction Documents and all documents relating thereto are and shall be continuously reflected in the minutes of the Board of Directors of the Transferor’s Managing Member and in the official records of the Transferor. Each of the Transaction Documents and all documents relating thereto are and shall, continuously from the time of their respective execution by the Transferor, be official records of the Transferor.
PROFESSIONAL RECORDS You should be aware that, according to the rules of HIPAA, I keep Protected Health Information about you in two sets of professional records. One set constitutes your Clinical Record. It includes information about your reasons for seeking therapy, a description of the ways in which your problem impacts on your life, your diagnosis, the goals that we set for treatment, your progress towards those goals, your medical and social history, your treatment history, any past treatment records that I receive from other providers, reports of any professional consultations, your billing records, and any reports that have been sent to anyone, including reports to your insurance carrier. In addition, I also keep a set of Psychotherapy Notes. These Notes are for my own use and are designed to assist me in providing you with the best treatment, While the content of Psychotherapy Notes vary from client to client, they can include notes regarding the contents of our conversations, my analysis of those conversations, and how they impact on your therapy. They also can contain particularly sensitive information that you may reveal to me that is not required to be included in your Clinical Record. These Psychotherapy Notes are kept separate from your Clinical Record. While insurance companies can request and receive a copy of your Clinical Record, they cannot receive a copy of your Psychotherapy Notes without your signed, written Authorization. Insurance companies cannot require your Authorization as a condition of coverage nor penalize you in any way for your refusal. You may examine and/or receive a copy of both sets of records, if you request it in writing. Because these are professional records, they can be misinterpreted and/or upsetting to untrained readers. For this reason, I recommend that you initially review them in my presence, or have them forwarded to another mental health professional so you can discuss the contents. In most circumstances, I am allowed to charge a fee for copying records. The exceptions to this policy are contained in the Privacy Notice form. HIPAA provides you with several new or expanded rights with regard to your Clinical Record and disclosures of protected health information. These rights include requesting that I amend your record; requesting restrictions on what information from your Clinical Record is disclosed to others; requesting an accounting of most disclosures of Protected Health Information that you have neither consented to nor authorized; determining the location to which protected information disclosures are sent; having any complaints you make about my policies and procedures recorded in your records; and the right to a paper copy of this Agreement, the Privacy Notice form, and my privacy policies and procedures. I am happy to discuss any of these rights and/or issues with you. Patients under 18 years of age who are not emancipated and their parents should be aware that the law may allow parents to examine their child’s treatment records. Because privacy in psychotherapy is often crucial to successful progress, particularly with teenagers, it is sometimes my policy to request an agreement from parents that they consent to give up their access to their child’s records. If they agree, during treatment, I will typically provide them only with general information about the progress of the child’s treatment, and his/her attendance at scheduled sessions. I also may provide parents with a summary of their child’s treatment when it is complete. Most other communication will require the child’s Authorization, unless I feel that the child is in danger or is a danger to someone else, in which case, I will notify the parents of my concern. Before giving parents information, I will discuss the matter with the child, if possible, and do my best to handle any objections he/she may have.
Medical Records Retention Grantee shall retain medical records in accordance with 22 TAC §165.1(b) or other applicable statutes, rules and regulations governing medical information.
Public Record That this Agreement shall become public upon the Effective Date.

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