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Authorisation To Release Personal Information Template for England and Wales

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Key Requirements PROMPT example:

Authorisation To Release Personal Information

"I need an Authorization To Release Personal Information for transferring my complete medical history from London Bridge Hospital to my new healthcare provider in Manchester, with the authorization valid from March 2025 to December 2025."

Document background
An Authorization To Release Personal Information is essential when there's a need to legally and securely share personal data between organizations or individuals under English and Welsh law. This document ensures compliance with UK GDPR and the Data Protection Act 2018, providing clear authorization for specific information to be shared, detailing the purpose, scope, and duration of the authorization. It's particularly important in situations requiring formal consent for data sharing, such as medical records release, employment verification, or academic record transfers.
Suggested Sections

1. Data Subject Details: Full identification and contact information of the person whose information is being released, including name, address, date of birth, and any relevant identification numbers

2. Authorizing Party Declaration: Formal declaration by the person authorizing the release, including their capacity to authorize if different from data subject

3. Recipient Information: Complete details of the organization or individual authorized to receive the information, including contact details and any relevant registration numbers

4. Information to be Released: Specific description of the personal information authorized for release, including the nature and scope of the data

5. Purpose of Release: Clear statement of the specific purpose(s) for which the information may be used by the recipient

6. Duration of Authorization: Specific timeframe for which the authorization remains valid, including start and end dates

7. Data Protection Statements: Mandatory statements regarding data protection rights and obligations under UK GDPR and Data Protection Act 2018

8. Execution: Signature blocks, date, and witness requirements for formal execution of the authorization

Optional Sections

1. Special Category Data Authorization: Additional specific authorization for sensitive personal data categories under Article 9 of UK GDPR, required when health, biometric, or other sensitive data is involved

2. Third Party Disclosure Authorization: Authorization for onward sharing of information with specified third parties, included when information may need to be shared beyond the primary recipient

3. Revocation Rights: Detailed process for withdrawing consent, included when the authorization is for ongoing or long-term access

4. International Transfer Provisions: Additional provisions required when personal data may be transferred outside the UK, addressing international data transfer requirements

Suggested Schedules

1. Schedule 1 - Categories of Personal Data: Detailed itemization of all specific categories of personal data covered by the authorization

2. Schedule 2 - Authorized Recipients: List of specific individuals or roles within the recipient organization authorized to access the information, if applicable

3. Appendix A - Identity Verification: Copies or details of identification documents used to verify the data subject's identity

4. Appendix B - Processing Activities: Detailed description of how the authorized information will be processed, stored, and protected by the recipient

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓÆµ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions

























Clauses




















Industries

UK GDPR: The UK General Data Protection Regulation - The primary legislation governing personal data processing in the UK post-Brexit, setting out fundamental principles for data protection

DPA 2018: Data Protection Act 2018 - The UK's implementation of data protection law that works alongside and supplements the UK GDPR

Freedom of Information Act 2000: Legislation that provides public access to information held by public authorities, relevant when public bodies are involved in data sharing

ICO Guidelines: Information Commissioner's Office regulatory guidelines that provide practical guidance on data protection compliance

Human Rights Act 1998: Legislation incorporating the European Convention on Human Rights into UK law, particularly Article 8 regarding right to privacy

Lawfulness Principle: GDPR principle requiring all data processing to be lawful, fair, and transparent to the data subject

Purpose Limitation: GDPR principle requiring personal data to be collected for specified, explicit, and legitimate purposes

Data Minimization: GDPR principle requiring personal data to be adequate, relevant, and limited to what is necessary

Storage Limitation: GDPR principle requiring personal data to be kept no longer than necessary for the intended purpose

Right to be Informed: Individual's right to be informed about the collection and use of their personal data

Right of Access: Individual's right to access and receive a copy of their personal data

Right to Rectification: Individual's right to have inaccurate personal data rectified or completed

Right to Erasure: Individual's right to have personal data erased (also known as 'right to be forgotten')

Special Category Data: Sensitive personal data requiring extra protection, including health, biometric, racial/ethnic origin, political opinions, religious beliefs, trade union membership, and sexual orientation data

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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