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Letter Of Consent To Release Personal Information Template for Netherlands

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Key Requirements PROMPT example:

Letter Of Consent To Release Personal Information

"I need a Letter of Consent to Release Personal Information for my medical clinic in Amsterdam, allowing us to share patient treatment records with a specialist hospital for ongoing care, with the consent valid from March 1, 2025, and including special provisions for sensitive health data."

Document background
The Letter of Consent to Release Personal Information is a crucial document in the Dutch legal framework, designed to ensure compliance with both the EU GDPR and the Dutch GDPR Implementation Act (UAVG). This document is essential when organizations need to obtain explicit consent from individuals before sharing their personal data with third parties. It should be used whenever personal information needs to be released to specified recipients outside the original purpose of collection, or when additional clarity and documentation of consent is required. The letter must contain specific elements to be legally valid under Dutch law, including clear purpose specification, identity of recipients, types of data being shared, and duration of consent. It's particularly important in scenarios involving sensitive data or when organizations need to demonstrate GDPR compliance to regulatory authorities.
Suggested Sections

1. Data Subject Information: Full name, contact details, and any relevant identification information of the person giving consent

2. Data Controller Information: Details of the organization/entity requesting consent, including contact information and data protection officer details if applicable

3. Purpose Declaration: Clear statement of the specific purpose(s) for which the personal information will be released

4. Scope of Consent: Explicit listing of what personal information is covered by this consent

5. Recipient Information: Details of who will receive the personal information

6. Rights Statement: Information about the right to withdraw consent and other GDPR rights

7. Duration of Consent: Specification of how long the consent remains valid

8. Declaration and Signature: Formal declaration of consent and space for signature and date

Optional Sections

1. International Transfer Notice: Required when personal data will be transferred outside the EU/EEA

2. Special Categories Declaration: Required when sensitive personal data (health, religious beliefs, etc.) is involved

3. Processing Operations Details: Detailed description of how the data will be processed, used when complex processing is involved

4. Third Party Recipients List: Used when multiple recipients or processors will have access to the data

5. Parental Consent: Required when the data subject is under the age of 16

6. Digital Consent Mechanism: Required when consent is being collected electronically

Suggested Schedules

1. Schedule A - Categories of Personal Data: Detailed list of all personal data categories covered by the consent

2. Schedule B - Authorized Recipients: Complete list of all organizations and individuals authorized to receive the data

3. Schedule C - Processing Activities: Detailed description of all processing activities covered by the consent

4. Appendix 1 - Privacy Notice: Copy of the relevant privacy notice or policy

5. Appendix 2 - Withdrawal Form: Template form for withdrawing consent

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


















Relevant Industries

Healthcare

Education

Financial Services

Human Resources

Insurance

Legal Services

Technology

Retail

Telecommunications

Public Sector

Professional Services

Research and Development

Marketing and Advertising

Real Estate

Relevant Teams

Legal

Compliance

Human Resources

Information Security

Data Protection

Risk Management

Information Governance

Privacy

Records Management

Administrative Support

Relevant Roles

Data Protection Officer

Privacy Officer

Legal Counsel

Compliance Manager

HR Manager

Information Security Officer

Risk Manager

Records Manager

Privacy Analyst

Compliance Specialist

Data Protection Specialist

Legal Administrator

HR Administrator

Information Governance Manager

Privacy Program Manager

Industries






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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