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.
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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
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
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
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
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