Personnel Information and Authorization for Release

PURPOSE: This rule sets forth the information and authorized release for personnel who will be involved in the supervision or conduct of pari-mutuel wagering. (1) The applicant must make its best effort to include the following for each individual who will have any responsibility or duties for the conduct of pari-mutuel wagering under the Class D license for which application is made: (A) Information to be provided by each individual— 1. Full name including any alias(es) or previous names; 2. Business address; 3. Residence address; 4. Telephone numbers; 5. Last five (5) residences; 6. Date of birth; 7. Place of birth; 8. Social Security number, if the individual is willing to provide it. The commission application must make clear the Social Security number is provided voluntarily; and 9. Two (2) references; and (B) An authorization for the release of personal information, on a form prepared by the commission, shall be signed by each individual and submitted with the application. The forms shall provide that the individual— 1. Authorizes a review by and full disclosure to the Missouri State Highway Patrol of all records concerning the individual, whether the records are public, nonpublic, private or confidential; 2. Recognizes the information reviewed or disclosed may be used by the Missouri Horse Racing Commission, its employees, staff and agents to determine the applicant’s qualifications for a Class D license; and 3. Releases the Missouri Horse Racing Commission, its employees, staff and agents and the providers of any information requested by the commission, its employees, staff and agents from any liability under state or federal privacy laws. AUTHORITY: section 313.580, RSMo 1986.* This rule originally filed as 12 CSR 5013.140. Emergency rule filed June 5, 1986, effective June 15, 1986, expired Oct. 13, 1986. Original rule filed June 12, 1986, effective Oct. 27, 1986. Moved to 11 CSR 4553.140, effective Aug. 28, 1995. *Original authority: 313.580, RSMo 1986.