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This form is used by California state employees to request that their home address and home telephone number not be disclosed as public records, in accordance with Government Code Section 6254.3.
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How to fill out request for nondisclosure of

How to fill out REQUEST FOR NONDISCLOSURE OF EMPLOYEE HOME ADDRESS
01
Obtain the REQUEST FOR NONDISCLOSURE OF EMPLOYEE HOME ADDRESS form.
02
Fill in the employee's personal details, including name and employee identification number.
03
Provide a valid reason for the request, ensuring to cite any relevant privacy laws or company policies.
04
Specify the duration for which the nondisclosure is requested.
05
Sign and date the form, affirming the accuracy of the information provided.
06
Submit the completed form to the appropriate HR representative or designated authority.
Who needs REQUEST FOR NONDISCLOSURE OF EMPLOYEE HOME ADDRESS?
01
Employees who wish to protect their home address from being disclosed for security or privacy reasons.
02
Employers or HR departments that may handle sensitive employee information and need to comply with confidentiality requests.
03
Legal representatives or advocates assisting employees in securing their personal information.
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What is REQUEST FOR NONDISCLOSURE OF EMPLOYEE HOME ADDRESS?
The REQUEST FOR NONDISCLOSURE OF EMPLOYEE HOME ADDRESS is a formal request made by an employee to keep their home address confidential from public disclosure, often to protect their safety or privacy.
Who is required to file REQUEST FOR NONDISCLOSURE OF EMPLOYEE HOME ADDRESS?
Employees who have a legitimate concern for their safety or privacy, such as victims of domestic violence or stalking, are typically required to file this request.
How to fill out REQUEST FOR NONDISCLOSURE OF EMPLOYEE HOME ADDRESS?
To fill out the REQUEST FOR NONDISCLOSURE OF EMPLOYEE HOME ADDRESS, employees must complete the designated form provided by their employer or relevant authority, ensuring that all required fields are accurately filled out and accompanied by necessary documentation.
What is the purpose of REQUEST FOR NONDISCLOSURE OF EMPLOYEE HOME ADDRESS?
The purpose of this request is to protect the employee's home address from being disclosed to the public, which can be crucial for their safety and personal privacy.
What information must be reported on REQUEST FOR NONDISCLOSURE OF EMPLOYEE HOME ADDRESS?
The information typically required includes the employee's name, work position, reasons for the nondisclosure request, and any relevant documentation supporting their claim for confidentiality.
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