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1. Client Details: Full identification details of the client providing authorization, including full name, address, date of birth, and any relevant identification numbers
2. Information Holder Details: Details of the organization/individual currently holding the information that is authorized to release it
3. Recipient Details: Full details of the person(s) or organization(s) authorized to receive the information
4. Scope of Authorization: Specific description of what information is authorized to be released, including date ranges if applicable
5. Purpose of Release: Clear statement of the purpose(s) for which the information is being released
6. Duration of Authorization: The period for which this authorization remains valid, including start and end dates
7. Privacy Notice: Statement about how the information will be handled and protected, referencing relevant privacy laws
8. Declaration and Signature: Client's declaration of understanding and consent, with space for signature, witness signature if required, and date
1. Sensitive Information Declaration: Additional declarations required when releasing sensitive information (e.g., health records, financial records). Include when the authorization covers sensitive personal information as defined in the Privacy Act
2. Third Party Authority: Section for cases where the authorization is being given by a legally authorized representative (e.g., power of attorney, guardian). Include when the person giving consent is not the subject of the information
3. Revocation Instructions: Details on how to revoke the authorization before its expiry. Include when the authorization period is lengthy or when dealing with ongoing information release
4. Emergency Contacts: Alternative contacts in case of emergency or inability to contact the primary parties. Include when dealing with medical information or long-term authorizations
5. Specific Restrictions: Any limitations or restrictions on the use or further disclosure of the information. Include when the client wants to place specific constraints on information usage
1. Schedule A - Detailed Information List: Itemized list of specific documents or information types authorized for release, particularly useful when the scope is extensive or complex
2. Schedule B - Authorized Recipients: Detailed list of all authorized recipients and their contact details, used when there are multiple recipients
3. Appendix 1 - Glossary: Definitions of technical or legal terms used in the authorization, particularly when dealing with specialized information types
Healthcare
Financial Services
Legal Services
Education
Insurance
Government Services
Social Services
Real Estate
Employment Services
Telecommunications
Professional Services
Legal
Compliance
Privacy
Records Management
Information Security
Risk Management
Operations
Human Resources
Customer Service
Administration
Information Management
Privacy Officer
Compliance Manager
Legal Counsel
Records Manager
Information Security Officer
Data Protection Officer
Risk Manager
Healthcare Administrator
Human Resources Manager
Customer Service Manager
Operations Manager
Practice Manager
Administrative Coordinator
Information Management Specialist
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ұԾ’s Security Promise
Genie is the safest place to draft. Here’s how we prioritise your privacy and security.
Your documents are private:
We do not train on your data; ұԾ’s AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
Your documents are protected by ultra-secure 256-bit encryption
We are ISO27001 certified, so your data is secure
Organizational security:
You retain IP ownership of your documents and their information
You have full control over your data and who gets to see it


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