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The Release Of Authorization Form is a critical legal instrument used in Belgian jurisdiction when an individual or entity needs to formally terminate previously granted permissions or authorizations. This document is essential in situations where there's a need to revoke power of attorney, withdraw consent for data processing, terminate agency relationships, or cancel other forms of authorized access or representation. The form must comply with Belgian civil law requirements and, where applicable, EU regulations such as GDPR. It typically includes detailed identification of parties, specific reference to the original authorization being revoked, effective date of revocation, and any continuing obligations or restrictions. This document is particularly important in protecting the rights of the original authorizing party and ensuring clear documentation of the authorization's termination.

1. Header Information: Date, parties' names, and document title

2. Party Details: Full identification of the person/entity releasing authorization and the party previously authorized

3. Purpose Statement: Clear statement of the purpose of releasing/revoking the previous authorization

4. Original Authorization Reference: Details of the original authorization being released/revoked, including its date and scope

5. Effective Date: Specific date when the release of authorization becomes effective

6. Release Declaration: Formal statement releasing/revoking the authorization

7. Acknowledgment: Statement confirming understanding of the release's implications

8. Execution Block: Signature blocks for all relevant parties