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Authorization Form
I need an authorization form to grant temporary access to my medical records to a designated family member for the purpose of assisting with healthcare decisions during my upcoming surgery. The form should specify the duration of access and include a clause for revocation of authorization at any time.
What is an Authorization Form?
An Authorization Form lets you give someone else permission to act on your behalf or access your private information. In Canada, these forms are commonly used for healthcare decisions, financial transactions, or sharing personal data protected under PIPEDA (Personal Information Protection and Electronic Documents Act).
The form creates a clear record of your consent, spelling out exactly what you're allowing and for how long. It protects both parties by documenting who can do what, and often includes important details like expiration dates and specific limitations. Organizations typically require these forms to stay compliant with privacy laws and avoid liability issues.
When should you use an Authorization Form?
Use an Authorization Form anytime you need someone else to access your private information or make decisions on your behalf. Common situations include letting your insurance broker handle claims, allowing a family member to discuss your medical care with doctors, or giving your accountant permission to work with the Canada Revenue Agency.
Many Canadian organizations require these forms before sharing sensitive data protected by PIPEDA or other privacy laws. Banks need them for third-party account access, healthcare providers use them for releasing medical records, and businesses rely on them when dealing with representatives during contract negotiations or legal proceedings.
What are the different types of Authorization Form?
- Automatic Deposit Form: For setting up direct payroll deposits or recurring payments to your bank account
- Pre Authorized Debit Form: Allows companies to automatically withdraw regular payments from your account
- Credit Card Authorization Form: Gives businesses permission to charge your credit card for specific transactions
- Authorization Letter For Representative: Designates someone to act on your behalf in legal or business matters
- Third Party Authorization Form: Broader form allowing others to access your information or conduct transactions
Who should typically use an Authorization Form?
- Account Holders: Individuals granting permission for others to access their financial accounts, medical records, or personal information
- Financial Institutions: Banks, credit unions, and investment firms that require Authorization Forms for third-party transactions or account management
- Healthcare Providers: Doctors, hospitals, and clinics that need authorization to share patient information or allow family members to discuss care
- Legal Representatives: Lawyers and paralegals who draft and review forms to ensure compliance with Canadian privacy laws
- Business Organizations: Companies requiring authorization for recurring payments, credit card charges, or delegation of authority in business dealings
How do you write an Authorization Form?
- Identify Parties: Gather full legal names and contact details for both the person giving authorization and the authorized party
- Define Scope: Clearly outline what specific actions or access rights are being authorized
- Time Period: Determine if the authorization is for a single event, specific timeframe, or ongoing until revoked
- Required Information: List any account numbers, reference details, or specific identifiers needed
- Privacy Requirements: Ensure compliance with PIPEDA and relevant provincial privacy laws
- Document Format: Use our platform to generate a legally sound Authorization Form that includes all required elements and proper formatting
What should be included in an Authorization Form?
- Party Details: Full legal names and contact information of both the authorizing party and authorized representative
- Scope of Authority: Clear description of permitted actions, access rights, and any specific limitations
- Duration: Explicit start date and end date or conditions for termination
- Privacy Statement: PIPEDA-compliant explanation of how personal information will be handled
- Signature Block: Dated signatures of all parties, with witness requirements if applicable
- Revocation Terms: Clear process for canceling or modifying the authorization
- Governing Law: Statement specifying applicable Canadian provincial jurisdiction
What's the difference between an Authorization Form and an Authorization Letter?
Authorization Forms are often confused with Authorization Letter, but they serve distinctly different purposes in Canadian legal practice. While both documents grant permission, their format, formality, and typical uses vary significantly.
- Format and Structure: Authorization Forms are standardized documents with specific fields and checkboxes, while Authorization Letters are more informal, narrative-style communications
- Legal Weight: Forms typically carry stronger legal standing due to their structured nature and explicit acceptance fields, making them preferred for financial or healthcare settings
- Duration: Forms often have defined validity periods and formal revocation processes, while letters usually address single instances or specific time-bound situations
- Usage Context: Forms are common in institutional settings requiring documented compliance with PIPEDA, while letters work better for one-time authorizations or informal business matters
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