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Release Of Information Request Form for India

Release Of Information Request Form Template for India

A standardized form used in India for requesting and authorizing the release of personal, medical, financial, or educational information, compliant with the Digital Personal Data Protection Act 2023 and other relevant Indian legislation. This document serves as a formal mechanism to obtain consent from individuals for the disclosure of their information to specified parties, while protecting privacy rights and ensuring proper documentation of the authorization process. It includes detailed sections for identifying the requestor, subject, and specific information requested, along with purpose declarations and validity periods.

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What is a Release Of Information Request Form?

The Release of Information Request Form is a crucial document used in India when one party needs to formally request and receive authorization to access specific information about an individual from another party. This form is essential for compliance with Indian privacy laws, particularly the Digital Personal Data Protection Act 2023, and is commonly used in healthcare facilities, educational institutions, and financial organizations. The document typically includes detailed identification of all parties involved, specific information being requested, purpose of the request, duration of authorization, and necessary signatures. It serves as both a request mechanism and a record of authorization, protecting the rights of information subjects while facilitating necessary information sharing. The form must be carefully structured to ensure all legal requirements are met while remaining accessible and understandable to all parties involved.

What sections should be included in a Release Of Information Request Form?

1. Requestor Information: Details of the person/entity requesting the information, including full name, contact details, and relationship to the subject

2. Subject Information: Details of the person whose information is being requested, including full name, date of birth, contact information, and any relevant identification numbers

3. Information Requested: Specific description of the information being requested, including date ranges and types of records

4. Purpose of Request: Clear statement of why the information is being requested and how it will be used

5. Authorization Statement: Formal declaration authorizing the release of information, including any limitations or restrictions

6. Duration of Authorization: Specification of how long the authorization remains valid

7. Rights Statement: Statement of the subject's rights regarding the information release, including right to revoke

8. Signature Block: Space for signatures, dates, and witness information if required

What sections are optional to include in a Release Of Information Request Form?

1. Urgent Request Indicator: Additional section for marking urgent requests with justification, used when expedited processing is needed

2. Third Party Authorization: Used when someone other than the subject is authorized to receive the information

3. Specific Restrictions: Section for indicating any specific parts of the information that should NOT be released

4. Electronic Delivery Authorization: Optional section for authorizing electronic transmission of information, including email consent

5. Fee Agreement: Section acknowledging any applicable fees for information release, used when charges apply

What schedules should be included in a Release Of Information Request Form?

1. List of Requested Documents: Detailed checklist of specific documents or information types being requested

2. Identity Verification Documents: List of acceptable identification documents and copies attached

3. Fee Schedule: If applicable, breakdown of charges for different types of information release

4. Authorization Revocation Form: Template form for revoking the authorization if needed in the future

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

India

Publisher

Ƶ

Cost

Free to use
Relevant legal definitions























Clauses




















Relevant Industries

Healthcare

Education

Financial Services

Insurance

Legal Services

Government Services

Banking

Human Resources

Telecommunications

Social Services

Relevant Teams

Legal

Compliance

Medical Records

Information Security

Privacy

Human Resources

Patient Services

Data Protection

Administrative Services

Regulatory Affairs

Relevant Roles

Privacy Officer

Compliance Manager

Medical Records Administrator

Legal Counsel

Data Protection Officer

Healthcare Administrator

Human Resources Manager

Information Security Officer

Records Manager

Admissions Officer

Financial Services Administrator

Patient Services Coordinator

Regulatory Compliance Specialist

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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