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1. Employee Information: Full legal name, current/former position, dates of employment, and contact information of the employee giving consent
2. Former/Current Employer Information: Company name, address, and relevant contact details of the employer who will provide the reference
3. Authorized Recipients: Identity and contact information of the specific persons/organizations authorized to receive the reference
4. Scope of Consent: Detailed specification of what information may be disclosed (e.g., job title, dates of employment, job performance, salary)
5. Duration of Consent: Specific timeframe for which the consent remains valid
6. Release and Waiver: Statement releasing the former employer from liability related to providing reference information in good faith
7. Signature Block: Space for employee signature, date, and witness signature if required
1. Specific Exclusions: Section listing any specific information that should NOT be disclosed in the reference
2. Digital Consent Confirmation: For electronic forms, additional statements confirming electronic signature validity
3. Multiple Reference Providers: Additional section when consent is being given for multiple supervisors/managers to provide references
4. Language Preference: In bilingual jurisdictions like Quebec, specification of preferred language for reference provision
1. Schedule A - Authorized Information Checklist: Detailed checklist of specific information items the employee authorizes for disclosure
2. Schedule B - Authorized Recipients List: If multiple recipients are authorized, detailed list with contact information
3. Appendix 1 - Privacy Rights Notice: Summary of employee's privacy rights under relevant legislation
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Education
Government
Manufacturing
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Professional Services
Non-Profit
Construction
Transportation
Hospitality
Media and Entertainment
Energy
Telecommunications
Human Resources
Legal
Compliance
Risk Management
Talent Acquisition
Employee Relations
Personnel Administration
Privacy Office
Corporate Services
Recruitment
HR Manager
HR Director
Privacy Officer
Compliance Manager
Legal Counsel
Employment Lawyer
HR Coordinator
Recruitment Manager
Talent Acquisition Specialist
HR Business Partner
Employee Relations Manager
HR Administrator
Corporate Counsel
Risk Management Officer
Personnel Manager
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