Employee Report of Violation by Business Associate

Employees are encouraged to report any violations of our privacy or security practices, federal or state privacy or security rules, or laws committed by any Business Associate.  Reporting a violation will not adversely affect a staff member’s employment status.  To report a violation, please complete, sign and date Sections A and B of this form, then submit to the Compliance Officer.

File Size: 60.5 KB
File Type: .doc - Word document
File Name: Employee_Report_of_Violation_by_Business _Associate.doc
Download Employee_Report_of_Violation_by_Business _Associate.doc

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