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Newark 1651 W Main Street, Newark, OH 43055 Columbus 3600 Shelter Road, Columbus, OH 43219 Appointment Date: Time: CONFIDENTIAL PERSONAL RECORD PERSONAL MR/MS/MRS NAME: ADDRESS: CITY/STATE/ZIP: PHONE

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What is confidential personal record?

Confidential personal record is a document that contains sensitive personal information about an individual, such as their social security number, financial data, and medical records.

Who is required to file confidential personal record?

Employers and organizations that handle sensitive personal information are required to file confidential personal records for their employees or clients.

How to fill out confidential personal record?

Confidential personal records can be filled out electronically or on paper, following the specific guidelines provided by the organization or employer.

What is the purpose of confidential personal record?

The purpose of confidential personal record is to securely store and protect sensitive personal information from unauthorized access or disclosure.

What information must be reported on confidential personal record?

Confidential personal records must include information such as full name, date of birth, address, social security number, and any other relevant personal data.

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