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doc12842 privacy_complaint.pdf
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29 item(s)
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figure (1)
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Page 1 JSON
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"text": "Signature Date"
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"text": "Please state the reason(s) supporting the requested amendment:"
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"text": "Please mail this form to the University's Privacy Official at the following address:"
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"text": "Samantha Todd, APRN"
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"text": "400 East Main Street"
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"text": "You may also submit the complaint electronically to samantha.todd@kysu.edu. A complaint must be filed within 180 days of when you knew or should have known of the circumstances that led to the complaint.",
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"text": "You also may submit a written complaint to the appropriate Office of Civil Rights Regional Office."
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