This Model Consent Form serves as a standardized template for organizations operating in Belgium to obtain valid consent for personal data processing activities. The document is designed to comply with both the EU General Data Protection Regulation (GDPR) and Belgian data protection law, particularly the Law of 30 July 2018. The form should be used whenever organizations need to obtain explicit consent for processing personal data, especially for special categories of data or specific processing activities requiring consent as a legal basis. It includes mandatory information about the data controller, processing purposes, data subject rights, and withdrawal mechanisms. The Model Consent Form can be customized for various sectors while maintaining compliance with Belgian linguistic requirements and GDPR principles of transparency and clarity.
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1. Data Controller Information: Clear identification of the organization collecting consent, including full legal name, registration number, address, and contact details of the Data Protection Officer (DPO) if applicable
2. Purpose of Processing: Clear and specific description of what the consent is being requested for, including all intended uses of the personal data
3. Types of Data Collected: Detailed list of all personal data that will be collected and processed
4. Data Subject Rights: Clear explanation of the rights under GDPR including right to withdraw consent, right to access, right to erasure, etc.
5. Duration of Processing: Information about how long the data will be stored and processed
6. Declaration of Consent: Clear statement of consent with checkbox or signature field, including confirmation that the data subject has read and understood all information
7. Signature Block: Space for date, name, and signature of the data subject (or legal representative if applicable)
1. International Data Transfers: Required when personal data will be transferred outside the EU/EEA, detailing the countries involved and safeguards in place
2. Automated Decision Making: Required when the processing involves automated decision-making or profiling, explaining the logic involved and consequences
3. Third Party Recipients: Required when data will be shared with third parties, listing the categories or specific names of recipients
4. Special Categories of Data: Required when processing special categories of data (health, biometric, etc.), with explicit consent requirements
5. Children's Data Processing: Required when collecting data from minors, including parental consent requirements
6. Marketing Preferences: Required when consent includes marketing communications, with separate opt-in choices for different channels
1. Privacy Notice: Detailed privacy policy providing comprehensive information about data processing activities
2. List of Processing Activities: Detailed breakdown of specific processing activities covered by the consent
3. Third Party Processors: Complete list of third-party data processors and their roles, if applicable
4. Security Measures: Description of technical and organizational measures in place to protect personal data
Authors
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Financial Services
Education
Retail
Technology
Professional Services
Human Resources
Marketing
Research & Development
Non-profit Organizations
Public Sector
Insurance
Telecommunications
E-commerce
Hospitality
Relevant Teams
Legal
Compliance
Human Resources
Data Protection
Information Security
Marketing
Customer Relations
Operations
Risk Management
Information Technology
Research & Development
Corporate Governance
Relevant Roles
Data Protection Officer
Privacy Officer
Legal Counsel
Compliance Manager
HR Manager
Marketing Manager
Information Security Officer
Risk Manager
Operations Director
Customer Relations Manager
Research Coordinator
IT Manager
Project Manager
Chief Privacy Officer
Chief Legal Officer
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