MARICOPA COUNTY SHERIFFS OFFICE AMENDMENT_ENCRYPTED_.PDF
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Equal Opportunity Employer/Program J-119 Amendment (03/07) ARIZONA DEPARTMENT OF ECONOMIC SECURITY Information Security Administration 1720 W Madison, Room C3, SC 820Z, Phoenix AZ 85007 Phone: 602-771.2670 • Fax: 602-542-4014 DATA-SHARING AGREEMENT AMENDMENT Arizona Department of Economic Security (Data Managing Division, Program, Administration) And (REQUESTING ENTITY - DES Division, Program, Administration or Non-DES Organization) Agreement No. SECTION I. ACTION The following change(s) will become effective when all approvals/signatures are completed. The Agreement is: Amended to include the following changes: (Use additional page if necessary) Except as specified above, all the terms of the original Agreement will continue to be in effect. SECTION II. RECOMMENDATIONS (Completed by data managing Division or Program Security Analyst) Request is recommended for approval. Request is not recommended for approval. Reason(s): ______________________________________________________________________________________________ Signature of Division or Program Security Analyst Date SECTION III. APPROVAL (Completed by the requesting entity and the data managing division or program) REQUESTING ENTITY SIGNATORY (PRINT NAME) ______________________________________________________________________________________________ Requesting Entity Signature Date DES SIGNATORY (PRINT NAME) ______________________________________________________________________________________________ Des Data Managing Division or Administration Signature Date 1775069 Aug 30, 2022 File transfer occurs monthly, rather than quarterly. Maricopa County Sheriff's Office (MCSO) Equal Opportunity Employer/Program Page 2 SECTION IV. APPROVAL (Completed by the Information Security Administrator) This signed Amendment meets all requirements necessary to permit the controlled sharing of the DES data while simultaneously providing for the protection of the data. I certify that: THIS AMENDMENT CONFORMS to the DES Information Security Policy. THIS AMENDMENT DOES NOT CONFORM to the DES Information Security Policy. Implementation of this Amendment cannot proceed until the following action is taken: Signature of Information Security Administrator _________________________________________________________Date _______________ J-119 Amendment