The Personal Information Release Form is a crucial document used in the Philippines when an individual (data subject) needs to authorize the sharing or processing of their personal information by organizations or other parties. This document has become increasingly important following the implementation of the Data Privacy Act of 2012 and its stringent requirements for personal data protection. The form is essential for businesses, institutions, and organizations that need to collect, process, or share personal information in compliance with Philippine privacy laws. It typically includes comprehensive details about the types of information being released, specific purposes for the release, duration of the authorization, and the rights of the data subject. This document is particularly relevant in situations involving employment, healthcare services, financial transactions, educational records, or any scenario where personal data needs to be shared with third parties.
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1. Parties: Identification of the Data Subject (person whose information is being released) and the Data Controller/Recipient (organization/person receiving the information)
2. Background: Brief context explaining the purpose and circumstances necessitating the information release
3. Definitions: Key terms used in the form, including types of personal information, processing activities, and other relevant terminology
4. Purpose of Release: Specific and detailed description of why the personal information is being released and how it will be used
5. Information to be Released: Detailed listing of all personal information categories that are authorized for release
6. Duration and Scope: Time period for which the authorization is valid and the geographical/organizational scope of the release
7. Rights of the Data Subject: Statement of the data subject's rights under the Data Privacy Act, including right to access, correction, and withdrawal of consent
8. Data Protection Measures: Description of security measures to be implemented to protect the released information
9. Authorization Statement: Clear and explicit consent statement conforming to DPA requirements
10. Execution: Signature blocks, date, and witness provisions
1. Special Categories of Data: Additional provisions for sensitive personal information such as health records, financial information, or government-issued IDs
2. Third Party Disclosures: Provisions regarding sharing of information with additional third parties, to be included when downstream sharing is anticipated
3. Emergency Contact Authorization: Optional section for authorizing release of information to emergency contacts
4. International Transfer Provisions: Required when personal information may be transferred outside the Philippines
5. Revocation Procedure: Detailed process for withdrawing consent, optional but recommended for longer-term authorizations
1. Schedule A - Categories of Personal Information: Detailed listing of specific personal information items authorized for release
2. Schedule B - Authorized Recipients: List of specific individuals or departments authorized to receive the information
3. Schedule C - Security Protocols: Detailed description of security measures and data protection protocols
4. Appendix 1 - Data Subject Rights: Comprehensive explanation of rights under the Data Privacy Act
5. Appendix 2 - Contact Information: Contact details for data protection officers and relevant authorities
Authors
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Education
Financial Services
Insurance
Human Resources
Real Estate
Technology
Telecommunications
Government Services
Retail
Professional Services
Tourism and Hospitality
Relevant Teams
Legal
Compliance
Human Resources
Information Security
Data Privacy
Risk Management
Operations
Customer Service
Information Technology
Records Management
Administrative Services
Relevant Roles
Data Protection Officer
Privacy Officer
Compliance Manager
Human Resources Manager
Legal Counsel
Risk Manager
Information Security Officer
Records Manager
Healthcare Administrator
School Registrar
Banking Officer
Insurance Underwriter
Customer Service Manager
Operations Manager
recruitment Specialist
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