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PADHS Non-Disclosure for Benefits Information

The following non-disclosure agreement is required by the Pennsylvania Department of Human Services to allow access within the Client View system to public benefits information about applicants and recipients.
Please read and accept the nondisclosure agreement below.


The Pennsylvania Department of Human Services places stringent restriction on the disclosure of information concerning applicants and recipients of assistance. 42 U.S.C. § 1396a(a)(7); C.F.R 431.300; 62 P.S. § 404; and 55 Pa Code Chapter 105. Any persons knowingly violating these restrictions may be sentenced to pay a fine or imprisonment, or both.


I understand that all information disclosed by the Pennsylvania Department of Human Services within the Client View system is confidential. I agree not to disclose any information regarding persons who have applied for, have received, or who are receiving public assistance benefits (including Medical Assistance) to any unauthorized persons.

I understand that I may use the information only in my capacity as an employee or agent of Allegheny County Department of Human Services to verify eligibility for public assistance programs. I understand that the use or disclosure of any information concerning an applicant or recipient of assistance or service for any other purpose is prohibited.

I understand that I am strictly prohibited from disclosing to any person or entity (e.g., legislative body, committee) any information that identifies by name, address, recipient number or Social Security number of an applicant of any public assistance program.

I have read this entire nondisclosure agreement and agree to abide by it. I also understand that any violation of this agreement may result in disciplinary action, which may include withdrawal of the right to use the information or discharge. Furthermore, I understand that criminal prosecution will be undertaken if I knowingly and intentionally disclose the information to anyone who is unauthorized or use the data for fraudulent purposes.