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Consent Authorization Form for Philippines

Consent Authorization Form Template for Philippines

A comprehensive legal document governed by Philippine law, particularly the Data Privacy Act of 2012 (RA 10173), that establishes explicit consent from individuals for the collection, processing, storage, and potential sharing of their personal information. This document serves as a formal authorization that details the scope of permitted data usage, specifies the rights of the data subject, and outlines the obligations of the data controller in accordance with Philippine privacy regulations. It includes mandatory disclosures, specific purposes for data collection, duration of authorization, and necessary privacy notices as required by Philippine law.

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What is a Consent Authorization Form?

The Consent Authorization Form is a crucial document required under Philippine law for organizations collecting and processing personal data. This form, mandated by the Data Privacy Act of 2012 and its Implementing Rules and Regulations, serves as a legal basis for data processing activities. It should be used whenever an organization needs to collect, process, store, or share personal information of individuals in the Philippines. The document typically includes detailed information about the data controller, specific purposes of data collection, scope of authorization, data subject rights, and privacy notices. It's particularly important as non-compliance with proper consent documentation can result in significant penalties under Philippine privacy laws. The form must be written in clear, understandable language and should be specific enough to cover all intended data processing activities while remaining compliant with Philippine privacy regulations.

What sections should be included in a Consent Authorization Form?

1. Title and Date: Clear identification of the document as a Consent Authorization Form and the date of execution

2. Parties: Identification of the data subject (person giving consent) and the organization/entity receiving the authorization, including complete contact details

3. Purpose of Authorization: Clear statement of the specific purpose(s) for which the consent is being sought and how the information will be used

4. Information to be Collected/Processed: Detailed list of personal information that will be collected, processed, or shared under this authorization

5. Scope of Authorization: Specific details about what actions are being authorized, including collection, processing, storage, and/or sharing of information

6. Duration of Authorization: The period for which the consent remains valid, including start date and expiration date if applicable

7. Rights of the Data Subject: Statement of the data subject's rights under the Data Privacy Act, including right to access, correction, and withdrawal of consent

8. Data Privacy Notice: Mandatory privacy notice as required by the Data Privacy Act, including information about data protection measures

9. Signature Block: Space for signatures, dates, and names of the data subject and authorized representative of the receiving organization

What sections are optional to include in a Consent Authorization Form?

1. Third Party Disclosures: Section listing any third parties with whom the information may be shared, used when information will be disclosed to other entities

2. Special Categories of Data: Additional provisions for sensitive personal information as defined in the Data Privacy Act, used when collecting sensitive data

3. International Data Transfers: Provisions regarding cross-border data transfers, required when data will be transferred outside the Philippines

4. Emergency Contact Authorization: Section for authorizing emergency contacts' information collection, used in medical or emergency-related contexts

5. Minors' Information: Special provisions when the data subject is a minor, including parental consent requirements

What schedules should be included in a Consent Authorization Form?

1. Schedule A - Detailed Data Fields: Comprehensive list of all specific data fields and categories of information being authorized for collection

2. Schedule B - Authorized Third Parties: List of specific third parties authorized to receive or process the information, if applicable

3. Schedule C - Processing Activities: Detailed description of all processing activities that will be performed on the collected data

4. Appendix 1 - Data Privacy Policy: Organization's complete data privacy policy referenced in the main consent form

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

Philippines

Publisher

Ƶ

Document Type

Authorization Form

Cost

Free to use
Relevant legal definitions






























Clauses

























Relevant Industries

Healthcare

Banking and Finance

Education

Insurance

Telecommunications

Technology

Retail

Human Resources

Professional Services

Government Services

Real Estate

Travel and Hospitality

E-commerce

Relevant Teams

Legal

Compliance

Human Resources

Information Technology

Data Privacy

Risk Management

Operations

Customer Service

Information Security

Corporate Governance

Administrative Services

Relevant Roles

Data Protection Officer

Privacy Officer

Compliance Manager

Legal Counsel

HR Manager

IT Security Manager

Risk Manager

Operations Manager

Customer Service Manager

Medical Records Officer

Enrollment Officer

Account Manager

Systems Administrator

Information Security Officer

Corporate Secretary

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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