The Permission To Release Information Form is a critical document used in Indonesia when organizations need to obtain explicit consent for sharing personal data in compliance with Law No. 27 of 2022 (PDP Law) and related regulations. This document is essential in scenarios where personal information needs to be shared between organizations or disclosed to third parties, requiring formal authorization from the data subject. The form serves as evidence of informed consent and outlines the scope of permitted information sharing, data protection measures, and the rights of the data subject. It's particularly important given Indonesia's strict data protection requirements and the potential penalties for unauthorized information disclosure. The document should be tailored to specific circumstances while maintaining compliance with Indonesian privacy laws and sector-specific regulations.
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1. Header and Date: Document title, reference number, and date of execution
2. Parties: Full identification of the data subject (person giving permission), the organization requesting the information, and any third-party recipients
3. Purpose Statement: Clear statement of the purpose for which the information is being requested and how it will be used
4. Information Details: Specific description of the information to be released, including categories of personal data
5. Duration of Authorization: Period for which the permission is valid, including start and end dates if applicable
6. Rights and Revocation: Statement of the data subject's rights under Indonesian law, including the right to revoke consent
7. Data Protection Measures: Overview of how the information will be protected and handled in accordance with Indonesian data protection laws
8. Signatures: Execution block including signatures, names, and dates for all parties
1. Electronic Consent: Additional provisions for electronic consent mechanisms when the form is completed digitally, in compliance with ITE Law requirements
2. Third Party Disclosure: Additional section when information may be shared with specific third parties, listing those parties and purposes
3. Special Categories of Data: Additional provisions when sensitive personal data (as defined in the PDP Law) is involved
4. International Transfer: Additional provisions when information may be transferred outside Indonesia
5. Sector-Specific Provisions: Additional provisions required for specific sectors (e.g., healthcare, financial services)
1. Schedule A - Details of Information to be Released: Detailed list of specific information, documents, or records to be released
2. Schedule B - Authorized Recipients: List of specific individuals or organizations authorized to receive the information, if applicable
3. Schedule C - Processing Activities: Detailed description of how the information will be processed, stored, and protected
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Financial Services
Education
Insurance
Human Resources
Real Estate
Technology
Telecommunications
Government Services
Professional Services
Retail
Banking
Relevant Teams
Legal
Compliance
Human Resources
Information Security
Risk Management
Operations
Records Management
Customer Service
Data Protection
Privacy
Relevant Roles
Data Protection Officer
Compliance Manager
Legal Counsel
HR Manager
Privacy Officer
Information Security Manager
Risk Manager
Operations Manager
Records Administrator
Medical Records Officer
Customer Service Manager
Account Manager
School Administrator
Banking Officer
Insurance Agent
Property Manager
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