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(1) Each application form for a key employee or a primary management official, as well as for other Class A license applications unless otherwise specifically exempted by the gaming commission, shall contain the two notices set forth in subsections (1)(a) and (1)(b) of this section:

(a) Privacy Act Notice.

In compliance with the Privacy Act of 1974, the following information is provided: Solicitation of the information on this form is authorized by 25 U.S.C. Section 2701 et seq. The purpose of the requested information is to determine the eligibility of individuals to be employed in a gaming operation. The information will be used by the National Indian Gaming Commission members and staff who have need for this information in performance of their official duties. The information may be disclosed to appropriate Federal, Tribal, State, local, or foreign law enforcement and regulatory agencies when relevant to civil, criminal or regulatory investigations or prosecutions or when pursuant to a requirement by a tribe or the National Indian Gaming Commission in connection with the hiring or firing of an employee, the issuance or revocation of a gaming license, or investigations of activities while associated with a tribe or a gaming operation. Failure to consent to the disclosures indicated in this notice will result in a Tribe’s being unable to hire you in a primary official or key employee position.

The disclosure of your Social Security Number (SSN) is voluntary. However, failure to supply a SSN may result in errors and delay in processing your application.

(b) Notice Regarding False Statements.

A false statement on any part of your application may be grounds for not hiring you, or for firing you after you begin work. Also, you may be punished by fine and or imprisonment. (U.S. Code, title 18, Section 1001.)

(2) Any existing key employee or primary management official, or other Class A licensee unless otherwise specifically exempted by the gaming commission, shall be notified that they shall either:

(a) Complete a new application form that contains the Privacy Act notice and the notice regarding false statements; or

(b) Sign a statement that contains the Privacy Act notice and consent to the routine uses described in that notice, and sign a statement that contains the notice regarding false statements. [Ord. Gaming Ordinance § 10, 1993.]