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You have one interesting story.  You're full of the memories of the people who came before you, the heritage of nations still being written, and the legends of those long gone.  Family history is an exciting journey into understanding your history and heritage, and I'm here to help when you need it.

If you are considering DNA analysis, please read the following policy and consent form covering the Biometric Information Privacy Act, found below: 

PAST FORWARD FAMILY HISTORY

BIPA POLICY

I, __________________________ (“Participant”), hereby consent to the PAST

FORWARD FAMILY HISTORY BIPA POLICY (“Policy”) of CLAIRE ESKER GENEALOGY,

LLC d/b/a PAST FORWARD FAMILY HISTORY, an Illinois limited liability company

(“COMPANY”), and such Policy is as follows:

PURPOSE

The purpose of this Policy is to inform Participant of the Illinois Biometric Information

Privacy Act (“Act”) and to review COMPANY’s policy and procedures for collection, use,

safeguarding, storage, retention, and destruction of biometric information collected by

COMPANY.

The COMPANY’s Policy is to protect and store biometric information in accordance with

applicable standards and laws, including, but not limited to, the Illinois Biometric Information

Privacy Act. A Participant’s biometric information (as defined below) will be collected or

otherwise obtained by COMPANY in order for COMPANY to provide the agreed upon DNA

research services requested by Participant (“Services”). Participant’s Biometric information will

be stored until the provision of Services have been satisfied or within three (3) years of the

Participant’s last interaction with the COMPANY, whichever occurs first. Notwithstanding the

foregoing, COMPANY will be allowed to use and store data and information related to

Participant’s Biometric information after the provision of Services have been satisfied.

DEFINITIONS

Under the Act:

“Biometric identifier” means a retina or iris scan, fingerprint, voiceprint, or scan of hand or face

geometry. Biometric identifiers do not include writing samples, written signatures, photographs,

human biological samples used for valid scientific testing or screening, demographic data, tattoo

descriptions, or physical descriptions such as height, weight, hair color, or eye color. Biometric

identifiers do not include donated organs, tissues, or parts as defined in the Illinois Anatomical

Gift Act or blood or serum stored on behalf of recipients or potential recipients of living or

cadaveric transplants and obtained or stored by a federally designated organ procurement agency.

Biometric identifiers do not include biological materials regulated under the Genetic Information

Privacy Act. Biometric identifiers do not include information captured from a patient in a health

care setting or information collected, used, or stored for health care treatment, payment, or

operations under the federal Health Insurance Portability and Accountability Act of 1996.

Biometric identifiers do not include an X-ray, roentgen process, computed tomography, MRI, PET

scan, mammography, or other image or film of the human anatomy used to diagnose, prognose, or

treat an illness or other medical condition or to further validate scientific testing or screening.

“Biometric information” means any information, regardless of how it is captured, converted,

stored, or shared, based on an individual’s biometric identifier used to identify an individual.

Biometric information does not include information derived from items or procedures excluded

under the definition of biometric identifiers.

PROCEDURE

COMPANY and/or its vendor(s) collects, stores, and uses biometric information for the purposes

of performing the Services. Prior to collecting biometric information or the provision of any

Services, COMPANY must obtain this signed consent by Participant. Other than for the purpose

of performing the Services, COMPANY will not sell, lease, trade, or otherwise profit from an

individual’s biometric information.

COMPANY will not disclose biometric information unless (a) consent is obtained, (b) disclosure

is required by law, or (c) disclosure is required by a subpoena. By signing below, Participant is

providing consent to the COMPANY to disclose Participant’s biometric information to its vendors.

COMPANY will store, transmit, and protect biometric information using a reasonable standard of

care and in a manner that is the same as or exceeds the standards followed in maintaining other

confidential and sensitive information.

Upon written request from Participant, COMPANY will permanently destroy a Participant’s

biometric information from COMPANY’s systems, or the systems of COMPANY’s vendor(s),

within a reasonable time following such request.

In the event COMPANY begins collecting biometric information for any additional purpose,

COMPANY will update this Policy.

A copy of this Policy will be made publicly available at

https://sites.google.com/pastforwardfamilyhistory.com/pastforwardfamilyhistory/services.

CONSENT

By signing below, the Participant acknowledges that Participant has received the Biometric

Information Privacy Policy and that Participant voluntarily consents to the collection, retention,

disclosure and destruction of Participant’s biometric information by COMPANY through its

Vendors. The Participant may revoke this consent by notifying the COMPANY in writing. If the

Participant revokes this consent, Participant acknowledges that COMPANY and its Vendors will

have a reasonable amount of time to comply with such request.

PARTICIPANT

________________________________

Print Name: _________________________________

Date: ________________________________________