Authorization To Release Information To A Third Party Form Template for Malaysia

Create a bespoke document in minutes, or upload and review your own.

4.6 / 5

4.8 / 5

Let's create your Authorization To Release Information To A Third Party Form

1. Select your governing law and document type:

2. Enter your key requirements:

3. Create your document to edit, review or download

Get your first 2 documents free

Your data doesn't train Genie's AI

You keep IP ownership of your information

Key Requirements PROMPT example:

Authorization To Release Information To A Third Party Form

"I need an Authorization To Release Information To A Third Party Form for releasing my complete medical records from Hospital Kuala Lumpur to my new specialist clinic in Penang, with the authorization valid from January 15, 2025, to December 31, 2025."

Document background

The Authorization To Release Information To A Third Party Form is a critical document used in Malaysia when there is a need to formally permit the sharing of personal, confidential, or sensitive information with specified third parties. This document type is particularly relevant in the context of Malaysian data protection laws, especially the Personal Data Protection Act 2010, which requires explicit consent for information sharing. The form serves as a legal record of consent and authorization, detailing what information can be shared, with whom, for what purpose, and under what conditions. It's commonly used in various scenarios such as medical record transfers, financial information sharing, employment verification, or academic record releases. The document includes necessary safeguards and compliance measures to protect the rights of the data subject while facilitating legitimate information sharing needs.

Suggested Sections

1. Identification of Parties: Details of the authorizing individual (data subject), the organization/person holding the information (data holder), and the third party recipient of the information

2. Purpose of Authorization: Clear statement of why the information is being released and how it will be used by the third party

3. Information to be Released: Specific description of the types of information authorized for release

4. Duration of Authorization: The period for which the authorization remains valid

5. Rights and Responsibilities: Statement of the rights retained by the authorizing party and responsibilities of all parties involved

6. Declarations and Consent: Express consent statements and declarations in compliance with PDPA 2010

7. Execution: Signature blocks for all parties, witness requirements, and date of execution

Optional Sections

1. Revocation Clause: Section detailing how and when the authorization can be revoked, included when the authorizing party wants explicit revocation rights

2. Confidentiality Requirements: Additional confidentiality obligations for the recipient, included when dealing with sensitive information

3. Electronic Communication Consent: Specific consent for electronic transmission of information, included when digital sharing is anticipated

4. Special Handling Instructions: Specific requirements for handling or transmitting the information, included when special security measures are needed

5. Language Declaration: Declaration of understanding if the form is bilingual or in multiple languages, included when the form is not in the authorizing party's primary language

Suggested Schedules

1. Schedule A - Detailed Information List: Comprehensive list of specific information items or documents authorized for release

2. Schedule B - Authorized Recipients: Detailed list of authorized third-party recipients and their contact information when multiple recipients are involved

3. Schedule C - Special Instructions: Detailed handling or transmission instructions when complex procedures are required

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

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Consent and Authorization
Scope of Information
Duration and Validity
Data Protection
Confidentiality
Information Use
Rights and Obligations
Revocation Rights
Liability and Indemnity
Electronic Communication
Governing Law
Signatures and Execution
Witness Requirements
Representations and Warranties
Notice Requirements
Severability
Entire Agreement
Amendment

Relevant Industries

Healthcare

Financial Services

Education

Insurance

Real Estate

Legal Services

Human Resources

Government Services

Banking

Telecommunications

Relevant Teams

Legal

Compliance

Human Resources

Information Security

Risk Management

Operations

Customer Service

Administration

Data Protection

Records Management

Relevant Roles

Privacy Officer

Compliance Manager

Legal Counsel

Data Protection Officer

HR Manager

Records Manager

Information Security Officer

Risk Manager

Operations Manager

Customer Service Manager

Administrative Officer

Company Secretary

Find the exact document you need

Authorisation Form

A Malaysian legal document granting specific powers or permissions from an authorizer to an authorized representative, compliant with Malaysian contract law.

How a Sales & Marketing Lead uses Genie AI to reduce contract drafting time by 95%

Let's create your Authorization To Release Information To A Third Party Form

Authors

Alex Denne

Find the exact document you need

Authorisation Form

Motorcycle Authorization Letter

Online Credit Card Authorization Form

Eft Agreement

Release Authorization

Passport Parent Consent Form

Authorization Agreement

To Whom It May Concern Authorization Letter

Salary Deduction Form

Refund Authorization Letter

General Authorization Letter

Authorized Signatory Letter

Eft Authorization Form

Collection Authorisation Form

Direct Credit Authorisation Form

Apostille Authorization Letter

Automatic Deposit Form

Authorization For Release Of Information Form

Sales Authorization Letter

Bank Consent Letter

Work Authorization Letter

Third Party Release Form

Third Party Credit Card Authorization Form

Third Party Authorization Form

Tenant Release And Consent Form

Tenant Authorization Letter

Permission Release And Consent Form

Payroll Direct Deposit Authorization Form

Payroll Deduction Form

Tenant Authorization Form

Payroll Deduction Authorization Form

Signature Authorization Form

Return Merchandise Authorization Form

Payroll Authorization Form

Return Authorization Form

Release Of Records Form

Release Of Information Form

Release Of Authorization Form

Payment Authorization Form

Property Authorization Letter

Pre Authorized Debit Form

Parent Guardian Consent Form For Minors

Owner Authorization Form

Overtime Authorization Form

Minor Authorization Form

Credit Check Consent Form

Credit Check Authorization Form

Credit Card Pre Authorization Form

Credit Card Payment Authorization Form

Credit Authorization Form

Consent To Treat Form

Consent To Release Information Form

Consent Release Form

Consent Authorization Form

Commission Disbursement Form

Caregiver Consent Form

Business Consent Form

Borrower Authorization Form

Bank Authorization Letter

Bank Authorization Form

Authorized Signatory Form

Authorized Representative Form

Authorization To Release Information To A Third Party Form

Authorization To Release Information

Employment Verification Authorization Form

Driver Authorization Form

Doctor Consent Letter

Dispatch Authorization Form

Designated Representative Form

Dental Records Release Form

Delegation Form

Debit Card Authorization Form

Credit Report Authorization Form

Credit Consent Form

Manufacturer Authorization Form