The Motor Vehicle Record Disclosure And Release Form is a crucial document used in Indonesian business and administrative contexts when access to an individual's vehicle records is required. This form becomes necessary in various scenarios, including employment screening, insurance underwriting, fleet management, and regulatory compliance. It is designed in accordance with Indonesian Law No. 22 of 2009 on Traffic and Road Transportation, as well as relevant data protection regulations. The document ensures proper authorization for accessing and sharing vehicle-related information while protecting the privacy rights of the record subject. It includes detailed information about the requesting party, the scope of records being requested, the intended use of the information, and the duration of the authorization. The form serves as a legal safeguard for both the record subject and the requesting party, establishing clear parameters for the disclosure and use of vehicle records.
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1. Parties: Identification of the individual whose records are being disclosed (Record Subject) and the entity requesting/receiving the records (Requesting Party)
2. Background: Brief context explaining the purpose of the form and its operation under Indonesian law
3. Definitions: Key terms used in the form including 'Motor Vehicle Records', 'Personal Information', 'Authorized Use', and 'Disclosure'
4. Record Subject Information: Detailed information about the individual whose records are being disclosed, including full name, ID number, driver's license number, and contact details
5. Records Requested: Specific description of the motor vehicle records being requested for disclosure
6. Purpose of Disclosure: Clear statement of the intended use of the requested records
7. Authorization and Consent: Express authorization from the Record Subject for the release of specified records
8. Duration of Authorization: Period for which the authorization remains valid
9. Privacy Notice: Statement regarding the handling and protection of personal information in compliance with Indonesian law
10. Declarations: Statements confirming the accuracy of information provided and understanding of the form's implications
11. Execution: Signature blocks for all parties with date and place of signing
1. Third Party Authorization: Additional section when records are being released to a party other than the primary requesting party
2. International Transfer Clause: Required when records may be transferred outside of Indonesia
3. Electronic Consent: Additional provisions when the form is being executed electronically
4. Restricted Use Agreement: Additional terms when records are being released for specific limited purposes
5. Emergency Contact: Optional section for including emergency contact information when required by the requesting party
1. Schedule A - Types of Records: Detailed listing of all types of motor vehicle records that may be disclosed
2. Schedule B - Identification Documents: List of acceptable identification documents required for verification
3. Schedule C - Fee Schedule: If applicable, schedule of fees for record retrieval and processing
4. Appendix 1 - Consent Withdrawal Form: Template form for withdrawing consent for record disclosure
5. Appendix 2 - Record Request Form: Detailed form specifying exact records being requested
Relevant legal definitions
Clauses
Relevant Industries
Transportation
Logistics
Insurance
Human Resources
Fleet Management
Security Services
Background Screening
Employment Services
Car Rental
Ride-sharing Services
Corporate Transportation
Public Transportation
Legal Services
Government Services
Relevant Teams
Human Resources
Legal
Compliance
Operations
Fleet Management
Risk Management
Administrative Services
Security
Data Protection
Transportation Operations
Relevant Roles
HR Manager
Compliance Officer
Fleet Manager
Risk Assessment Officer
Background Screening Specialist
Transportation Coordinator
Legal Counsel
Safety Officer
Insurance Underwriter
Operations Manager
Recruitment Manager
Administrative Officer
Data Protection Officer
Security Manager
Vehicle Operations Supervisor
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