Xerox Government Systems has developed a business associate agreement in compliance with the privacy regulations pursuant to Public Law 104-191 of August 21, 1996, known as the Health Insurance Portability and Accountability Act of 1996. Please download and print our business associate agreement if your local government is requesting this information to be on file. The business associate agreement is for your needs only. This form does NOT need to be submitted back to us. Please keep the copy for your records.
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