Form Boe-400-Er - Application For Electronic Waste Recycling Fee Account - California Page 2
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2BOE-400-ER (BACK) REV. 2 (2-05)
ELECTRONIC WASTE RECYCLING FEE PROGRAM PRIVACY NOTICE
Information Provided to the Board of Equalization
We ask you for information so that we can administer the state's Electronic Waste Recycling Act of 2003 under Chapter 8.5
(commencing with section 42460) of Part 3 of Division 30 of the Public Resources Code. The Board of Equalization is
required to collect the fees pursuant to the Fee Collection Procedures Law, Part 30 (commencing with section 55001) of
Division 2 of the Revenue and Taxation Code. We will use the information to determine whether you are paying the correct
amount of fees and to collect any amounts you owe. You must provide all of the information we request, including your
social security number (used for identification purposes [see Title 42 U.S. Code sec. 405(c)(2)(C)(i)]).
What happens if I don't provide the information?
If your application is incomplete, we may not be able to complete the registration process. If you do not file complete
returns, you may have to pay penalties and interest. Penalties may also apply if you do not provide other information we
request or that is required by law, or if you give us false or incorrect information. In some cases, you may be subject to
criminal prosecution.
In addition, if you do not provide information we request to support any claim for credit, exclusion, or adjustment, we may
not allow them. You may end up owing more fees or receiving a smaller refund.
Can anyone else see my information?
Your records are covered by state laws that protect your privacy. However, we may share information regarding your
account with certain government agencies.
With your written permission, we can release information regarding your account to anyone you designate.
We may disclose information to the proper officials of the following agencies, among others:
United States government agencies: U.S. Attorney's Office; Internal Revenue Service
State of California government agencies and officials: California Integrated Waste Management Board; Department
of Toxic Substances Control; Highway Patrol; California Parent Locator Service
City attorneys and city prosecutors; county district attorneys, police and sheriff departments.
Can I review my records?
Yes. Please contact your nearest Board office (see the white pages of your phone book). If you need more information, you
may contact our Disclosure Officer in Sacramento by calling 916-445-2918. You may also want to obtain publication 58-A,
How to Inspect and Correct Your Records. You may order a copy from our Information Center: 800-400-7115 or download
it from the Internet: (look under "Forms, Publications, Reports & News").
Who is responsible for maintaining my records?
The Chief of the Excise Taxes and Fees Division, who you may contact by calling 916-327-4208, or writing to the address
shown.
Chief, Excise Taxes and Fees Division, MIC:56
450 N Street
Sacramento, CA 95814
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