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Reference Request Consent Form for Canada

Reference Request Consent Form Template for Canada

A Reference Request Consent Form is a legal document used in Canadian jurisdictions that authorizes former or current employers to provide employment references to specified parties. The document complies with federal privacy legislation (PIPEDA) and applicable provincial privacy laws, ensuring proper consent for the disclosure of personal and employment information. It typically specifies the scope of information that can be shared, identifies authorized recipients, includes liability waivers, and sets temporal limits for the consent's validity. This document is crucial for maintaining privacy compliance while facilitating necessary employment reference checks.

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What is a Reference Request Consent Form?

The Reference Request Consent Form is a critical document in Canadian employment practices that bridges the need for employment verification with privacy protection requirements. This document becomes necessary when current or former employees need references for new employment opportunities, academic applications, or other professional purposes. The form ensures compliance with the Personal Information Protection and Electronic Documents Act (PIPEDA) and provincial privacy legislation by obtaining explicit consent for information sharing. It typically includes details about the scope of information that can be disclosed, identifies authorized recipients, and provides protection for both the reference provider and the subject. The Reference Request Consent Form is particularly important in Canada's privacy-conscious legal environment, where unauthorized disclosure of personal information can have significant legal consequences.

What sections should be included in a Reference Request Consent Form?

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

What sections are optional to include in a Reference Request Consent Form?

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

What schedules should be included in a Reference Request Consent Form?

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

Authors

Alex Denne

Head of Growth (Open Source Law) @ Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

Canada

Publisher

Ƶ

Document Type

Consent Letter

Cost

Free to use
Relevant legal definitions




















Clauses


















Relevant Industries

Technology

Healthcare

Financial Services

Education

Government

Manufacturing

Retail

Professional Services

Non-Profit

Construction

Transportation

Hospitality

Media and Entertainment

Energy

Telecommunications

Relevant Teams

Human Resources

Legal

Compliance

Risk Management

Talent Acquisition

Employee Relations

Personnel Administration

Privacy Office

Corporate Services

Recruitment

Relevant Roles

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

Industries







Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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