Page 1273 - Draft
P. 1273

Covered Information (CI) Disclosed to Other Third Parties, Including Government Agencies


                                                Other Third Party/Gov’t  Site/Application/Service   Data Elements of CI   How the CI is Used   Purpose of Disclosure
                                                       Agency












                                                                    DRAFT

                                              DATED:























                                              7:345-AP, E1                                                                                                         Page 2 of 2
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