Authorisation For Release Of Personal Information Template for England and Wales

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Key Requirements PROMPT example:

Authorisation For Release Of Personal Information

"I need an Authorization for Release of Personal Information for our medical clinic to share patient records with a specialist hospital in London, with the authorization valid from 1 March 2025 to 31 December 2025, including special provisions for sharing diagnostic images and test results."

Document background
The Authorization for Release of Personal Information is essential in situations where personal data needs to be shared between organizations or individuals while maintaining compliance with UK data protection laws. This document is particularly crucial in the post-Brexit UK regulatory environment, where the UK GDPR and Data Protection Act 2018 govern data protection. It provides a formal mechanism for data subjects to exercise control over their personal information, specifying exactly what information can be shared, with whom, and for what purpose. The authorization can cover various types of personal data, from basic contact information to sensitive special category data, and is commonly used in healthcare, employment, financial services, and legal contexts.
Suggested Sections

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

2. Details of Requestor: If different from data subject, details of person requesting information and their relationship to data subject

3. Scope of Authorization: Specific description of what information is authorized for release

4. Purpose of Release: Clear statement of why the information is being released and how it will be used

5. Duration of Authorization: Time period for which the authorization is valid

6. Recipient Details: Who is authorized to receive the information

7. Declaration and Signature: Formal authorization statement and signature block

Optional Sections

1. Special Category Data Authorization: Additional authorization for sensitive personal data, used when health, biometric, or other special category data is involved

2. Third Party Authorization: Additional section when information will be shared with third parties, specifying conditions and limitations

3. Revocation Rights: Details of how authorization can be withdrawn, included when required by specific circumstances

Suggested Schedules

1. Schedule of Information: Detailed list of specific records or information to be released

2. Proof of Identity: Copies of identification documents verifying the data subject's identity

3. Authority Documentation: Any supporting documents proving authority to act on behalf of data subject (if applicable)

Authors

Alex Denne

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

Industries

UK GDPR: The UK General Data Protection Regulation - Primary legislation governing personal data processing and protection in the UK post-Brexit

DPA 2018: Data Protection Act 2018 - The UK's implementation of data protection law, working alongside UK GDPR

FOIA 2000: Freedom of Information Act 2000 - Relevant when public bodies are involved in data processing and information requests

ICO Guidelines: Information Commissioner's Office regulatory guidelines for data protection compliance and best practices

PECR: Privacy and Electronic Communications Regulations - Specific rules for electronic communications and marketing

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

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

Accuracy Principle: GDPR principle requiring personal data to be accurate and kept up to date

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

Integrity and Confidentiality: GDPR principle requiring appropriate security of personal data

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

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

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

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

Right to Restrict Processing: Individual right to restrict the processing of their personal data

Right to Data Portability: Individual right to obtain and reuse their personal data across different services

Right to Object: Individual right to object to the processing of their personal data

Special Category Data: Sensitive personal data requiring extra protection, including health, biometric, racial/ethnic, political, religious, 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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