Information Required for Safe Harbor Certification
To expedite the certification process, please compile the following information before you go online to certify your organization's participation.
1. Organization Information:
 | Name |
| Address |
| City |
| State |
| Zip |
| Phone |
| Fax |
| Website (Optional) |
2. Organization Contact Information (for the handling of complaints, access requests, and any other issues arising under the safe harbor):
| Contact Office |
| Contact Name (Optional) |
| Contact Title (Optional) |
| Contact Phone |
| Contact Fax |
| Contact Email |
3. Corporate Officer who is certifying the organization's adherence to the safe harbor framework:
| Corporate Officer Name |
| Corporate Officer Title |
| Corporate Officer Phone |
| Corporate Officer Fax |
| Corporate Officer Email |
4. Description of the activities of the organization with respect to personal information received from the EU.
5. Description of the organization's privacy policy for personal information:
| Effective date of your organization's privacy policy |
| Location of your organization's privacy policy |
| Specific statutory body that has jurisdiction to hear any claims against the organization regarding possible unfair or deceptive practices and violations of laws or regulations governing privacy (and that is listed in the Annex to the Principles): (Federal Trade Commission or Department of Transportation) |
| Information on any privacy programs relevant to the safe harbor in which the organization is a member |
| Method of your organization's verification (e.g., In-house, Third Party. (See FAQ 7) |
| Independent recourse mechanism(s) available to investigate unresolved complaints (e.g., private sector developed privacy program that incorporates the Safe Harbor Principles, legal or regulatory supervisory authorities that provide for the handling of individual complaints and dispute resolution, or EU data protection authorities. (See FAQ 11) |
| Data Covered by the safe harbor (e.g., off-line, on-line, manually processed data, human resources data) |
6. Additional Information Required
| EU Countries that you receive information from: (Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Spain, Sweden, United Kingdom) |
| Industry Sector - you can select up to 3 sectors (View Safe Harbor Industry Sectors) |
| Level of organization sales (this information will not be posted on the website) |
| Number of employees (this information will not be posted on the website) |
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