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ETHICS AND CONFIDENTIALITY ACKNOWLEDGEMENT FORM The undersigned acknowledges the following to both Citizens Property Insurance Corporation, Florida (Citizens) and to the Citizens Vendor. 1. VENDOR.

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How to fill out the ETHICS AND CONFIDENTIALITY ACKNOWLEDGEMENT FORM online

This guide provides a straightforward approach to completing the ETHICS AND CONFIDENTIALITY ACKNOWLEDGEMENT FORM online. By following these practical steps, you can ensure that you understand and comply with the requirements set forth by Citizens Property Insurance Corporation.

Follow the steps to complete your form accurately.

  1. Locate the 'Get Form' button to access the ETHICS AND CONFIDENTIALITY ACKNOWLEDGEMENT FORM. Using this button will allow you to open the form in your preferred online editing tool.
  2. Begin filling out the vendor relationship section by identifying the Vendor you are representing. Ensure that you clearly state your status as either an employee or sub-contractor of the Vendor noted.
  3. Review the Code of Ethics carefully. Acknowledge and confirm your understanding of the restrictions regarding gifts, conflicts of interest, and confidentiality obligations outlined in this section.
  4. Indicate whether a potential conflict of interest exists by choosing 'Yes' or 'No' and provide an explanation if applicable. This ensures clarity regarding your professional relationships in relation to Citizens.
  5. Fill out the confidentiality and non-disclosure section, affirming that you will maintain the confidentiality of all information pertaining to Citizens’ claims and will not use such information for any unauthorized purposes.
  6. Familiarize yourself with the section regarding public records and the procedure to follow if you receive a public records request. Make sure you comply with your employer's contractual obligations.
  7. In the termination of claim handling section, agree to return all confidential information to the Vendor and acknowledge that confidentiality obligations will persist beyond your work on a specific claim.
  8. Review the consequences for violation section to understand the implications of non-compliance with the agreement. Confirm that you understand these consequences.
  9. Finally, complete the acknowledgment section by filling in the date, printing or typing your name, and signing the form. If applicable, include your Florida Department of Financial Services adjuster license number.
  10. After completing the form, save your changes. You can then download, print, or share the completed form as needed.

Complete your ETHICS AND CONFIDENTIALITY ACKNOWLEDGEMENT FORM online today to ensure compliance and uphold professional standards.

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Examples of confidential information are: Names, dates of birth, addresses, contact details (of staff, clients, patients, pupils, etcetera). Personal bank details and credit card information. Images of staff, pupils or clients that confirm their identity and can be linked to additional personal information.

Confidentiality refers to the duty to protect privileged information and to share entrusted information responsibly. It stems from the notion that a person's wishes, decisions, and personal information should be treated with respect.

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