Supervisor Authorization – Advance Confidentiality and Acceptable Use Agreement

Supervisor Authorization - Advance Confidentiality and Acceptable Use Agreement

University of Utah Representative Statement

I certify that the above individual or organization needs access to this data for performance of their efforts on behalf of the University of Utah. I further recognize that the information provided will be used exclusively in conjunction with the completion of the organization's business with the University of Utah and no subsequent use of the information or any derivatives is authorized. I will notify the Development Office immediately in writing if the above individual or organization no longer needs access to the data, and will ensure that the third party recipient above destroys or returns copies of the information and any derivatives provided as soon as their authorized purpose has been served, or when the business relationship concludes.
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