Burbank USD | E 4212.5 Personnel
Criminal Record Check
SAMPLE EMPLOYEE STATEMENT FORM
USE OF CRIMINAL JUSTICE INFORMATION
As an employee/volunteer of Burbank Unified School District, you may have access to confidential criminal record information which is controlled by state and federal statutes. Misuse of such information may adversely affect the individual's civil rights and violate constitutional rights of privacy. Penal Code 502 prescribes the penalties relating to computer crimes. Penal Code 11105 and 13300 identify who has access to criminal history information and under what circumstances it may be disseminated. Penal Code 11140-11144 and 13301-13305 prescribe penalties for misuse of criminal history information. Government Code 6200 prescribes felony penalties for misuse of public records. Penal Code 11142 and 13300 state:
"Any person authorized by law to receive a record or information obtained from a record who knowingly furnishes the record or information to a person not authorized by law to receive the record or information is guilty of a misdemeanor."
Civil Code 1798.53, Invasion of Privacy, states:
"Any person who intentionally discloses information, not otherwise public, which they know or should reasonably know was obtained from personal or confidential information maintained by a state agency or from records within a system of records maintained by a federal government agency, shall be subject to a civil action, for invasion of privacy, by the individual."
CIVIL, CRIMINAL, AND ADMINISTRATIVE PENALTIES:
*Penal Code 11141: DOJ furnishing to unauthorized person (misdemeanor)
*Penal Code 11142: Authorized person furnishing to other (misdemeanor)
*Penal Code 11143: Unauthorized person in possession (misdemeanor)
*California Constitution, Article I, Section 1 (Right to Privacy)
* Civil Code 1798.53, Invasion of Privacy
*Title 18 USC 641, 1030, 1951, and 1952
Any employee who is responsible for such misuse may be subject to immediate dismissal.
Violations of this law may result in criminal and/or civil action.
I HAVE READ THE ABOVE AND UNDERSTAND THE POLICY REGARDING MISUSE OF CRIMINAL RECORD INFORMATION.
Printed Name Title
Name of District
PLEASE NOTE: Do not return this form to the DOJ. Your Custodian of Records should maintain these forms.
Exhibit BURBANK UNIFIED SCHOOL DISTRICT
version: November 19, 2015 Burbank, California