This form asks you to give some information about yourself that may be considered private or confidential under the Minnesota Government Data Practices Act (Minnesota Statutes, Chapter 13). The Minnesota Department of Human Services (DHS) is collecting this information to share with the fingerprint and photo services vendor, IDEMIA, so the vendor can understand and research your reported issue. You are not legally required to provide information on this form, but if you don't provide this information, IDEMIA may not be able to research your concern. The information you provide may be shared with: DHS employees whose work assignments reasonably require access including, but not limited to, the DHS Background Studies Division, DHS Office of Inspector General, and IDEMIA.