The Consent to Disclose Form is a crucial document required under Philippine privacy law, specifically mandated by the Data Privacy Act of 2012 and its Implementing Rules and Regulations. This document is essential whenever an organization needs to share or transfer personal information to third parties, ensuring compliance with legal requirements for data privacy and protection. The form must be used prior to any disclosure of personal information, containing specific details about what information will be shared, with whom, for what purpose, and for how long. It serves as a legal record of the data subject's informed consent and helps organizations demonstrate compliance with Philippine privacy regulations. The document is particularly important given the strict enforcement regime of the National Privacy Commission and the potential penalties for unauthorized data disclosure.
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1. Title and Date: Clear identification of the document as a Consent to Disclose Form and the date of execution
2. Parties: Identification of the data subject (person giving consent) and the data controller (organization requesting consent), including complete names and contact details
3. Background: Brief context explaining why the consent is being requested and the relationship between the parties
4. Definitions: Clear definitions of key terms used in the document, particularly technical or legal terms
5. Information to be Disclosed: Specific and detailed description of the personal information that will be disclosed
6. Purpose of Disclosure: Clear statement of the specific purpose(s) for which the information will be disclosed
7. Recipients of Information: Identification of the specific individuals, entities, or categories of recipients who will receive the information
8. Duration of Consent: Specification of how long the consent will remain valid
9. Rights of the Data Subject: Statement of the data subject's rights under the Data Privacy Act, including the right to withdraw consent
10. Signature Block: Space for signatures of all parties, with date and place of signing
1. Data Transfer Mechanisms: Details of how the information will be transferred or transmitted, included when data will be transferred across borders or through specific technical means
2. Security Measures: Description of security measures in place to protect the information, included when dealing with sensitive personal information
3. Third Party Processing: Details about any third-party data processors, included when external entities will process the data
4. Emergency Contact Authorization: Authorization for emergency contacts, included when the form relates to medical or emergency services
5. Specific Industry Requirements: Additional provisions required by specific industries (e.g., healthcare, banking), included when the disclosure relates to regulated sectors
1. Schedule A - Details of Personal Information: Detailed list of specific personal information items to be disclosed
2. Schedule B - Authorized Recipients: Complete list of authorized recipients and their contact details
3. Appendix 1 - Privacy Policy Reference: Reference to or excerpt of relevant privacy policies applicable to the disclosure
4. Appendix 2 - Security Protocols: Detailed description of security measures and protocols for data protection
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Financial Services
Education
Insurance
Telecommunications
E-commerce
Government Services
Human Resources
Professional Services
Technology
Real Estate
Manufacturing
Retail
Non-profit Organizations
Relevant Teams
Legal
Compliance
Human Resources
Information Technology
Information Security
Risk Management
Operations
Customer Service
Records Management
Data Privacy
Corporate Governance
Administrative Services
Relevant Roles
Privacy Officer
Data Protection Officer
Compliance Manager
Legal Counsel
HR Manager
Information Security Officer
Risk Manager
Operations Manager
Customer Service Manager
Records Manager
IT Director
Chief Information Officer
Chief Legal Officer
Chief Compliance Officer
Business Unit Manager
Project Manager
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