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Consent To Release Information Form for Philippines

Consent To Release Information Form Template for Philippines

A legally binding document governed by Philippine law, specifically compliant with the Data Privacy Act of 2012 (RA 10173), that authorizes the release and sharing of personal information. This form serves as written authorization from a data subject, allowing specified parties to collect, process, and share defined categories of personal information for stated purposes. The document includes detailed specifications about the information to be shared, the purpose of sharing, the duration of consent, and the rights of the data subject under Philippine data privacy laws.

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What is a Consent To Release Information Form?

The Consent To Release Information Form is a crucial document in the Philippine legal framework, designed to comply with the Data Privacy Act of 2012 (RA 10173) and its Implementing Rules and Regulations. This document is essential when organizations need to share personal information with third parties, requiring explicit consent from the data subject. The form should be used whenever personal information needs to be collected, processed, or shared beyond the original purpose for which it was collected. It typically includes details about the data subject, the requesting organization, the specific information to be released, intended recipients, purpose of disclosure, and duration of consent. The document serves as evidence of compliance with Philippine data privacy regulations and protects both the data subject's rights and the organization's legal obligations.

What sections should be included in a Consent To Release Information Form?

1. Parties: Identification of the data subject (person giving consent), the organization requesting consent, and any third parties who will receive the information

2. Purpose of Disclosure: Clear statement of the specific purpose(s) for which the information will be released and how it will be used

3. Information to be Released: Detailed description of the specific information or records to be disclosed

4. Duration of Consent: Specified period for which the consent remains valid, including start and end dates if applicable

5. Rights of the Data Subject: Statement of the data subject's rights under the Data Privacy Act, including right to withdraw consent

6. Data Privacy Notice: Mandatory privacy notice as required by the Data Privacy Act of 2012

7. Execution: Signature blocks, date, and witness provisions if required

What sections are optional to include in a Consent To Release Information Form?

1. Special Categories of Data: Additional provisions for sensitive personal information such as health records, financial information, or government-issued IDs

2. Electronic Processing Consent: Specific consent for electronic processing and storage of information, required when digital systems are used

3. International Transfer Provisions: Additional provisions required when information will be transferred outside the Philippines

4. Revocation Procedure: Detailed procedure for withdrawing consent, including specific contact information and process

5. Emergency Contact Authorization: Additional authorization for emergency contacts to access information, typically used in medical contexts

What schedules should be included in a Consent To Release Information Form?

1. Schedule A - Detailed Information List: Itemized list of specific information or documents to be released

2. Schedule B - Authorized Recipients: List of specific individuals or organizations authorized to receive the information

3. Schedule C - Processing Activities: Detailed description of how the information will be processed, stored, and protected

4. Appendix 1 - Data Subject Rights: Detailed explanation of data subject rights under Philippine law

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

Cost

Free to use
Relevant legal definitions

























Clauses




















Relevant Industries

Healthcare

Banking and Finance

Education

Human Resources

Insurance

Government Services

Legal Services

Real Estate

Telecommunications

Social Services

Relevant Teams

Legal

Compliance

Human Resources

Information Security

Risk Management

Data Privacy

Records Management

Operations

Administrative Services

Customer Service

Relevant Roles

Data Protection Officer

Privacy Officer

Compliance Manager

Human Resources Manager

Medical Records Officer

Legal Counsel

Information Security Officer

Risk Management Officer

Records Manager

Operations Manager

Healthcare Administrator

School Registrar

Bank Officer

Insurance Claims Officer

Government Administrator

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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