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The Authorization For Release of Information Form is a crucial document in South African business and legal practice, designed to facilitate the lawful sharing of personal or confidential information while ensuring compliance with the Protection of Personal Information Act (POPIA) and other relevant legislation. This document becomes necessary whenever there is a need to share personal, medical, financial, or other confidential information with third parties, whether for business, legal, medical, or administrative purposes. The form serves as evidence of informed consent and helps organizations manage their data protection obligations. It includes specific provisions required by South African law, such as the purpose of information sharing, duration of authorization, and the data subject's rights. The document is particularly important in contexts where sensitive information needs to be shared across different organizations or departments while maintaining legal compliance and protecting individual privacy rights.

1. Information Provider Details: Full details of the person/entity whose information will be released, including full name, ID number, contact details, and address

2. Recipient Details: Full details of the person/entity to whom the information will be released, including name, contact information, and relationship to the information provider

3. Purpose of Disclosure: Clear statement of the specific purpose(s) for which the information is being released

4. Scope of Authorization: Detailed description of exactly what information is authorized for release

5. Duration of Authorization: Specific timeframe for which the authorization is valid

6. Rights and Revocation: Statement of the information provider's rights, including the right to revoke authorization

7. Data Protection Statement: Reference to POPIA compliance and how the information will be protected

8. Declaration and Signature: Confirmation of understanding and voluntary consent, with space for signatures and dates