Biometric Policy Consent Form - 2024

Consent for the Collection, Use, Transmission and Storage of Biometric
Identifiers or Biometric Information
Name: 


  1. I, the undersigned individual, am employed or otherwise retained by Endeavor Health, including all of its
    subsidiaries and affiliates under its direct control, (“Endeavor Health” or “System”) to provide certain services to
    the System.
    I understand System collects, uses, protects, and stores biometric information in compliance with the State of
    Illinois Biometric Information Privacy Act of 2008, 740 ILCS 14/1, et seq. (“BIPA”), which regulates the collection,
    use, transmission, storage, retention and destruction of Biometric Identifiers and Biometric Information.
    Biometric Identifiers are one or more of the following: iris or retinal scan, fingerprint, voice print or scan or hand or
    facial geometry.
    Biometric Information is any information, regardless of how it is captured, converted, stored or shared based on an
    individual’s biometric identifier used to identify an individual.
    I understand by consenting below my fingerprint, or other Biometric Identifier(s), may be collected, used,
    transmitted or stored by Endeavor Health and/or its vendors for the purpose of verifying my identity for an
    employee background check, access to Endeavor Health restricted areas and/or use of equipment.
    I understand by consent below my Biometric Identifiers or Biometric Information will not be disclosed by Endeavor
    Health to third-parties without my written consent except when the disclosure is required by vendor contract or by
    law or by a valid subpoena, court order or court warrant.
    I understand by consenting below my Biometric Identifiers and Biometric Information will be permanently deleted
    from the Endeavor Health information system network immediately upon termination of my role with Endeavor
    Health or when I revoke my consent, if not sooner.
    Yes, I consent to the above and acknowledge that I have been provided access to a copy of the NS-EEH Biometric Information and Privacy Policy.
    No