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Universal Release Of Information Form for Philippines

Universal Release Of Information Form Template for Philippines

A comprehensive legal document designed for use in the Philippines that facilitates the authorized release of personal information from one party to another. This form complies with the requirements of the Data Privacy Act of 2012 (Republic Act No. 10173) and related Philippine privacy regulations. It provides a structured framework for obtaining explicit consent from individuals for the collection, processing, and sharing of their personal information, while ensuring transparency about how the information will be used and protecting the rights of data subjects. The document includes provisions for various types of information, from general personal data to sensitive information, and can be customized based on specific organizational needs while maintaining compliance with Philippine data protection laws.

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Universal Release Of Information Form

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What is a Universal Release Of Information Form?

The Universal Release Of Information Form serves as a critical document in the Philippine legal framework for managing personal data sharing and protection. It is designed to meet the stringent requirements of the Data Privacy Act of 2012 (RA 10173) and its implementing rules and regulations. This document is essential when organizations need to obtain explicit consent for collecting, processing, or sharing personal information across various contexts, such as healthcare, employment, financial services, or educational settings. The form provides a comprehensive framework that balances the need for information sharing with individual privacy rights, incorporating necessary safeguards and clear articulation of the scope of consent. It is particularly valuable in situations requiring compliance documentation, audit trails, and demonstration of proper authorization for information handling.

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

1. Parties: Identification of the person giving consent (data subject), the organization/person authorized to release the information (data controller), and the recipient(s) of the information

2. Background: Brief context explaining the purpose and necessity of the information release

3. Definitions: Clear definitions of key terms used in the form, including types of information, processing activities, and relevant parties

4. Scope of Authorization: Detailed description of what information is authorized for release, including timeframe and purpose

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

6. Rights of the Data Subject: Statement of the individual's rights under the Data Privacy Act, including right to revoke consent

7. Privacy Notice: Statement about how the information will be handled, stored, and protected

8. Limitations and Restrictions: Any restrictions on the use or further disclosure of the released information

9. Representations and Warranties: Confirmations from the data subject regarding their understanding and voluntary consent

10. Execution: Signature blocks and attestation of consent

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

1. Special Categories of Data: Additional provisions for sensitive personal information such as health records, financial information, or genetic data

2. Minor/Guardian Provisions: Special provisions when the data subject is a minor or under guardianship

3. Emergency Contact Authorization: Specific provisions for releasing information to emergency contacts

4. Digital/Electronic Consent: Additional provisions for electronic execution of the form

5. Third-Party Service Providers: Provisions regarding the use of third-party service providers in processing or handling the information

6. International Transfer: Specific provisions for when information may be transferred outside the Philippines

7. Research Use: Additional provisions for use of information in research or statistical analysis

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

1. Schedule A - Types of Information: Detailed checklist or listing of specific types of information authorized for release

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

3. Schedule C - Purpose of Disclosure: Detailed description of authorized purposes for information disclosure

4. Appendix 1 - Consent Revocation Form: Template form for revoking consent

5. Appendix 2 - Privacy Rights Summary: Summary of rights under the Data Privacy Act of 2012

6. Appendix 3 - Security Measures: Description of security measures employed to protect the information during transfer and processing

Authors

Alex Denne

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

Jurisdiction

Philippines

Cost

Free to use
Relevant legal definitions



































Clauses

























Relevant Industries

Healthcare

Banking and Finance

Education

Insurance

Government Services

Legal Services

Human Resources

Technology and IT

Research and Development

Social Services

Telecommunications

Real Estate

Relevant Teams

Legal

Compliance

Human Resources

Information Security

Risk Management

Records Management

Data Privacy

Administrative Services

Operations

Customer Service

Information Technology

Corporate Governance

Relevant Roles

Data Protection Officer

Compliance Manager

Legal Counsel

Privacy Officer

Human Resources Manager

Information Security Officer

Risk Management Officer

Records Manager

Healthcare Administrator

School Registrar

Bank Operations Manager

Customer Service Manager

Operations Director

Administrative Officer

Corporate Secretary

Information Management 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, 聽Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination, 聽Severance Pay, Governing Law, Entire Agreemen

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