Ƶ

Consent Release Form for Belgium

Consent Release Form Template for Belgium

A comprehensive consent release form compliant with Belgian law and GDPR requirements, designed to obtain explicit consent for the collection, processing, and potential sharing of personal data. The document incorporates Belgian Privacy Act requirements and includes mandatory disclosures about data processing activities, subject rights, and withdrawal procedures. It's structured to meet both Belgian linguistic requirements and EU data protection standards, with clear provisions for consent withdrawal and data subject rights as mandated by Belgian and EU legislation.

Your data doesn't train Genie's AI

You keep IP ownership of your information

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Download a Standard Template

4.6 / 5
4.8 / 5
Access for free
OR

Alternatively: Run an advanced review of an existing
Consent Release Form

Let Ƶ's market-leading legal AI identify missing terms, unusual language, compliance issues and more - in just seconds.

What is a Consent Release Form?

The Consent Release Form is a crucial document used in Belgium to obtain explicit consent for personal data processing activities, as required by both the GDPR and Belgian Privacy Act. This document is essential when organizations need to collect, process, or share personal data, requiring clear documentation of informed consent. The form must be provided in the appropriate official language (Dutch, French, or German) depending on the region within Belgium. It includes mandatory information about the purpose of data processing, data subject rights, and withdrawal procedures. The Consent Release Form serves as evidence of compliance with Article 7 of the GDPR and corresponding Belgian privacy laws, providing protection for both the data controller and the data subject.

What sections should be included in a Consent Release Form?

1. Identification of Parties: Details of the data controller/organization requesting consent and the data subject/individual giving consent

2. Purpose of Consent: Clear and specific description of what the consent is being given for

3. Nature of Personal Data: Specific description of what personal data will be collected, processed, or shared

4. Duration and Scope: Time period for which the consent is valid and geographical/jurisdictional scope

5. Rights of the Data Subject: Explanation of rights under GDPR including right to withdraw consent, access data, request deletion

6. Processing Activities: Detailed description of how the personal data will be used, processed, or shared

7. Security Measures: Overview of measures taken to protect the personal data

8. Withdrawal Procedure: Clear explanation of how to withdraw consent and the consequences of withdrawal

9. Declaration and Signature: Formal declaration of consent and space for signature(s) and date

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

1. Parental Consent: Additional section required when the data subject is a minor

2. Special Categories of Data: Additional provisions when processing sensitive data (health, biometric, etc.)

3. International Transfers: Required when personal data will be transferred outside the EU/EEA

4. Commercial Usage: Additional terms when personal data will be used for commercial purposes

5. Media Release: Specific provisions for use of images, videos, or other media

6. Research Purposes: Additional terms when data is collected for research purposes

7. Third Party Sharing: Detailed information about third parties with whom data will be shared

What schedules should be included in a Consent Release Form?

1. Data Processing Activities: Detailed list of specific data processing activities covered by the consent

2. Privacy Notice: Comprehensive privacy notice as required by GDPR Article 13/14

3. Technical Security Measures: Detailed description of security measures implemented to protect personal data

4. Third Party Recipients: List of third parties who may receive or process the personal data

5. Withdrawal Form: Template form for withdrawing consent

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

Belgium

Publisher

Ƶ

Document Type

Authorization Form

Cost

Free to use
Relevant legal definitions

























Clauses






















Relevant Industries

Healthcare

Education

Financial Services

Media and Entertainment

Research and Development

Marketing and Advertising

Human Resources

Technology

Retail

Professional Services

Non-profit Organizations

Public Sector

Insurance

Telecommunications

Relevant Teams

Legal

Compliance

Human Resources

Data Protection

Information Security

Marketing

Research

Operations

Customer Relations

Risk Management

Corporate Governance

Ethics

Relevant Roles

Data Protection Officer

Privacy Manager

Legal Counsel

Compliance Officer

HR Manager

Marketing Director

Research Coordinator

Information Security Officer

Project Manager

Risk Manager

Operations Manager

Customer Relations Manager

Corporate Secretary

Ethics Officer

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

Find the exact document you need

Authorisation Form

A Belgian-law compliant document that formally grants specific powers or permissions from an authorizing party to an authorized representative.

Download

Company Authorization Letter

A Belgian law-governed document authorizing an individual or entity to act on behalf of a company, complying with Belgian corporate law requirements and EU regulations.

Download

Authorization Letter To Collect Money

A Belgian legal document authorizing a designated party to collect money on behalf of another, compliant with Belgian civil law and EU regulations.

Download

Authorization For Release Of Protected Health Information

A Belgian law-compliant authorization form for releasing protected health information, incorporating GDPR and local healthcare privacy requirements.

Download

Eft Agreement

Belgian law-governed agreement establishing terms for electronic funds transfer services, complying with EU and Belgian financial regulations.

Download

Passport Parent Consent Form

A Belgian legal document providing parental authorization for a minor's passport issuance, compliant with Belgian federal law and EU regulations.

Download

Authorization Agreement

A Belgian law-governed agreement establishing authorized powers of representation between a principal and an agent, defining scope and conditions of delegated authority.

Download

Authorization Letter To Receive

A Belgian law-compliant document authorizing a designated party to receive specific items or documents on behalf of the authorizer.

Download

Authorization Letter To Get Diploma

A Belgian-law compliant authorization letter enabling a designated person to collect a diploma on behalf of the credential holder.

Download

Authorization Letter For Deed Of Sale

A Belgian law-governed authorization letter empowering an agent to execute a property sale on behalf of the owner, requiring notarization and specific property details.

Download

Authorization Letter For Cheque

A Belgian-compliant formal document authorizing a designated person to handle cheque transactions on behalf of an account holder, subject to Belgian banking regulations and civil code requirements.

Download

Authorization Letter Credit Card

A Belgian-law governed document authorizing a designated person or entity to use the card owner's credit card under specified conditions and time period.

Download

ACH Payment Form

A Belgian law-compliant SEPA payment authorization form for establishing automated payment arrangements, adhering to EU financial and data protection regulations.

Download

Authorisation Letter For Vehicle

A Belgian-compliant legal document authorizing a specified individual to operate a designated vehicle for a defined period, subject to Belgian traffic and civil law.

Download

Authorisation Letter For Collection

A Belgian law-compliant formal letter authorizing a designated party to collect items, documents, or payments on behalf of the authorizing party.

Download

Authorization Letter To Withdraw Money On My Behalf

A Belgian-law governed authorization letter enabling a designated person to withdraw money from the authorizer's bank account(s), compliant with Belgian banking and financial regulations.

Download

Authorization Letter To Drive My Car

A Belgian-compliant legal document authorizing a specified individual to drive the owner's vehicle, including essential details and conditions as required under Belgian law.

Download

Eft Authorization Form

Belgian-law compliant Electronic Funds Transfer Authorization Form for setting up automated bank payments in accordance with EU and Belgian banking regulations.

Download

Client Authorisation Form

A Belgian law-governed authorization form enabling a client to formally delegate specific powers to a representative, with clear scope and GDPR compliance.

Download

Direct Credit Authorisation Form

A Belgian-law governed form authorizing regular direct payments into a specified bank account, compliant with SEPA and EU payment regulations.

Download

Automatic Deposit Form

A Belgian law-compliant banking form that authorizes and establishes automatic recurring deposits into a specified bank account.

Download

Authorization For Release Of Information Form

A Belgian law-compliant authorization form for releasing personal information, incorporating GDPR requirements and national privacy legislation.

Download

Authorization Letter For Signature

A Belgian law-governed document authorizing a designated person to sign specific documents or conduct transactions on behalf of the authorizing party.

Download

Third Party Credit Card Authorization Form

A Belgian-law governed form authorizing third-party credit card usage, compliant with EU financial and data protection regulations.

Download

Third Party Authorization Form

A Belgian law-governed document authorizing a third party to act on behalf of an individual or entity within specified parameters.

Download

Payroll Deduction Form

A Belgian law-compliant authorization form for making specified deductions from an employee's salary, ensuring adherence to local wage protection regulations.

Download

Social Media Consent Form For Patients

A Belgian-law compliant consent form for healthcare providers to obtain patient permission for social media content sharing, aligned with GDPR and local healthcare regulations.

Download

Return Merchandise Authorization Form

A Belgian-law compliant form for processing and authorizing product returns, ensuring adherence to EU consumer protection regulations and local requirements.

Download

Return Authorization Form

A Belgian law-compliant document that authorizes and tracks product returns from customers to sellers, ensuring adherence to EU consumer rights and data protection regulations.

Download

Release Of Information Form

A Belgian law-compliant form authorizing the release of personal information between parties, adhering to GDPR and local privacy requirements.

Download

Payment Authorization Form

A Belgian-law compliant form authorizing regular or one-time payments from an account, meeting PSD2 and local financial regulations.

Download

Pre Authorized Debit Form

A Belgian-compliant SEPA direct debit authorization form allowing creditors to automatically collect payments from a debtor's bank account.

Download

Parental Authorization Form

A Belgian law-compliant document allowing parents/guardians to authorize specific actions or responsibilities regarding their minor child to designated parties.

Download

Medical Release Form For Minor

A Belgian law-compliant authorization form allowing healthcare providers to administer medical treatment to minors with parental consent.

Download

Credit Check Authorization Form

A Belgian-law compliant authorization form allowing organizations to conduct credit checks on individuals, adhering to GDPR and local privacy requirements.

Download

Credit Card Payment Authorization Form

Belgian law-compliant Credit Card Payment Authorization Form that meets EU payment processing and data protection requirements for secure payment processing.

Download

Credit Card Authorization Form

A Belgian-law compliant form authorizing merchants to process credit card payments, incorporating EU payment regulations and data protection requirements.

Download

Consent To Treat Form

A Belgian-law compliant document recording patient's informed consent for medical treatment, adhering to the Belgian Act on Patient Rights and GDPR requirements.

Download

Consent To Release Information Form

A Belgian law-compliant consent form for authorized information release, ensuring GDPR compliance and data subject rights protection.

Download

Consent Release Form

Belgian law-compliant consent release form for personal data processing, aligned with GDPR and Belgian Privacy Act requirements.

Download
See more related templates

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