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Authorization To Disclose Information Form
1. Identification of Parties: Details of the individual giving authorization (including name, address, CPR number if applicable) and the organization/entity authorized to disclose information
2. Purpose of Authorization: Clear statement of the specific purpose(s) for which the information disclosure is authorized
3. Information to be Disclosed: Detailed description of the specific information or categories of information authorized for disclosure
4. Recipients of Information: Identification of the specific person(s) or organization(s) to whom the information may be disclosed
5. Duration of Authorization: Specific time period for which the authorization is valid, including start and end dates
6. Rights and Revocation: Statement of the individual's rights, including the right to revoke authorization and the process for doing so
7. Signatures and Date: Space for dated signatures of the authorizing individual and any required witnesses
1. Special Categories of Data: Additional specific authorizations for sensitive data categories under GDPR (health, biometric, etc.) - include when sensitive data is involved
2. Third Party Representatives: Authorization details for cases where a legal representative is acting on behalf of the data subject - include when applicable
3. Cross-Border Transfer: Specific provisions for international data transfers - include when information may be disclosed outside the EU/EEA
4. Re-disclosure Provisions: Provisions regarding whether recipients may further disclose the information - include when relevant to the disclosure purpose
1. Detailed Information List: Itemized list of specific documents or information types to be disclosed when the main form references multiple categories
2. Privacy Notice: Detailed information about how the disclosed information will be processed and protected by the recipient
3. Authorized Recipients List: Detailed list of all authorized recipients when multiple parties are involved in receiving the information
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³Ò±ð²Ô¾±±ð’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; ³Ò±ð²Ô¾±±ð’s AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
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Our bank-grade security infrastructure undergoes regular external audits
We are ISO27001 certified, so your data is secure
Organizational security
You retain IP ownership of your documents
You have full control over your data and who gets to see it
Innovation in privacy:
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Together, we ran a £1 million research project on privacy and anonymity in legal contracts
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