The Authorization For Release of Information Form is a critical document used in Nigeria when personal information needs to be shared between organizations or individuals. This form became particularly important following the implementation of the Nigeria Data Protection Regulation (NDPR) in 2019, which established strict requirements for processing and sharing personal data. The document is essential for organizations that need to obtain explicit consent before sharing personal information, ensuring compliance with Nigerian privacy laws and regulations. It provides a standardized method for documenting consent, specifying the scope of information to be shared, and protecting both the data subject's rights and the organizations involved in the information exchange. The form includes provisions for various types of information releases, from medical records to employment information, and can be customized based on the specific context while maintaining compliance with Nigerian legal requirements.
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1. Identification of Parties: Details of the person authorizing the release (data subject), the organization/person releasing the information, and the recipient of the information
2. Purpose of Authorization: Clear statement of why the information is being requested and how it will be used
3. Information to be Released: Specific description of the information/records to be disclosed, including relevant dates and types of records
4. Duration of Authorization: The time period for which the authorization is valid, including start and end dates
5. Rights and Notices: Statement of the individual's rights under NDPR, including right to revoke authorization and any limitations
6. Signatures and Date: Space for data subject's signature, date, and any required witness signatures
1. Special Categories of Data: Additional specific consent sections for sensitive data categories (health, biometric, religious beliefs, etc.) as per NDPR requirements
2. Third Party Authorization: Required when someone other than the data subject is authorized to consent on their behalf (e.g., parent, guardian, power of attorney)
3. Re-disclosure Notice: Statement regarding whether the information can be re-disclosed by the recipient to other parties
4. Electronic Transmission Authorization: Specific consent for electronic transmission of information, if applicable
5. Payment Information: Details of any fees associated with the information release, if applicable
1. Schedule A - Detailed Record List: Itemized list of specific records/information to be released when the main form requires more detailed specification
2. Schedule B - Authorized Recipients: List of specific individuals or organizations authorized to receive the information when multiple recipients are involved
3. Appendix 1 - Identity Verification Documents: List of acceptable identification documents and verification requirements
4. Appendix 2 - Privacy Notice: Detailed privacy notice explaining how the information will be handled, stored, and protected as per NDPR requirements
Authors
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Financial Services
Education
Insurance
Employment/HR
Legal Services
Government/Public Sector
Telecommunications
Real Estate
Banking
Social Services
Relevant Teams
Legal
Compliance
Human Resources
Information Security
Risk Management
Operations
Administrative Services
Medical Records
Data Protection
Customer Service
Relevant Roles
Data Protection Officer
Compliance Manager
Legal Counsel
HR Manager
Medical Records Officer
Privacy Officer
Information Security Manager
Risk Management Officer
Records Manager
Administrative Officer
Company Secretary
Operations Manager
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