Minnesota Administrative Rules

7870.0160 PERSONAL INFORMATION AND AUTHORIZATION FOR RELEASE.

In an application for a Class A license the applicant must make its best effort, as defined in part 7870.0030, item E, to include the following with respect to each individual identified pursuant to part 7870.0030 as an applicant, partner, director, officer, other policymaker, or holder of a direct or indirect record or beneficial ownership interest or other voting interest or control of five percent or more in the applicant and each individual identified pursuant to part 7870.0100, item B or C:

A.

full name, business and residence addresses and telephone numbers, last five residence addresses, date of birth, place of birth, Social Security number, if the individual is willing to provide it, and two references; and

B.

an authorization for release of personal information, on a form prepared by the commission, signed by the individual and providing that he or she:

(1)

authorizes a review by and full disclosure to an agent of the Minnesota Public Safety Department, Alcohol and Gambling Enforcement Division, of all records concerning the individual, whether the records are public, nonpublic, private, or confidential;

(2)

recognizes the information reviewed or disclosed may be used by the state of Minnesota, its employers, the commission, members, staff and agents to determine the signer's qualifications for a Class A license; and

(3)

releases authorized providers and users of the information from any liability under state or federal data privacy law.

Statutory Authority:

MS s 240.13; 240.15; 240.16; 240.19; 240.23; 240.24

History:

8 SR 1823; 24 SR 1568

Published Electronically:

April 16, 2007