Info Release Form Template for Nigeria

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Key Requirements PROMPT example:

Info Release Form

"I need an Info Release Form for my medical clinic in Lagos, Nigeria, to allow sharing of patient records with a research institution for a clinical study starting in March 2025, ensuring NDPR compliance and including specific provisions for sensitive health data protection."

Document background

The Info Release Form serves as a critical document in Nigerian business and institutional operations, designed to facilitate the legal and controlled sharing of information while ensuring compliance with the Nigeria Data Protection Regulation (NDPR) 2019 and related privacy laws. This document is essential when organizations or individuals need to share sensitive or confidential information with third parties, whether for business, medical, educational, or administrative purposes. The form provides a structured framework for obtaining explicit consent, defining the scope of information sharing, and establishing clear parameters for data protection. It's particularly relevant in today's digital age where data privacy concerns are paramount, and organizations must demonstrate compliance with regulatory requirements while maintaining operational efficiency.

Suggested Sections

1. Parties: Identification of the information provider (data subject) and the recipient organization/individual, including full legal names and addresses

2. Background: Brief context explaining the purpose and circumstances of the information release

3. Definitions: Key terms used in the form, including 'Confidential Information', 'Personal Data', 'Processing', and other relevant terms as defined in NDPR

4. Information to be Released: Specific description of the information/data being authorized for release

5. Purpose of Release: Clear statement of the specific purpose(s) for which the information will be used

6. Duration: Period for which the authorization remains valid

7. Consent Declaration: Express statement of consent by the information provider, confirming voluntary authorization

8. Rights of the Information Provider: Statement of rights under NDPR including right to withdraw consent

9. Recipient Obligations: Responsibilities of the recipient regarding data protection and permitted usage

10. Signature Block: Space for dated signatures of all parties

Optional Sections

1. Third Party Disclosure: Include when information may be shared with third parties, specifying conditions and limitations

2. International Transfer: Required when information may be transferred outside Nigeria, addressing NDPR cross-border transfer requirements

3. Security Measures: Include when dealing with sensitive personal data, specifying security protocols

4. Compensation: Include if there is any payment involved for the information release

5. Emergency Contact: Include for medical or high-risk information releases

6. Withdrawal Procedure: Detailed process for withdrawing consent, include for complex or long-term releases

Suggested Schedules

1. Schedule A - Information Details: Detailed list of specific information/documents to be released

2. Schedule B - Authorized Recipients: List of specific individuals/departments authorized to receive the information

3. Schedule C - Security Protocols: Detailed security measures for handling the released information

4. Appendix 1 - Consent Withdrawal Form: Template form for withdrawing consent

5. Appendix 2 - Privacy Notice: Detailed privacy notice in compliance with NDPR requirements

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

Relevant Industries

Healthcare

Financial Services

Education

Government

Professional Services

Technology

Telecommunications

Insurance

Human Resources

Research & Development

Legal Services

Real Estate

Relevant Teams

Legal

Compliance

Human Resources

Information Security

Risk Management

Operations

Administrative Services

Records Management

Data Protection

Information Governance

Privacy

Relevant Roles

Data Protection Officer

Compliance Manager

Legal Counsel

Privacy Officer

Human Resources Manager

Information Security Officer

Risk Manager

Records Manager

Operations Manager

Medical Records Officer

Administrative Director

Company Secretary

Chief Privacy Officer

Information Governance Manager

Find the exact document you need

Info Release Form

A Nigerian law-compliant document authorizing the controlled release of information between parties, incorporating NDPR requirements and data protection principles.

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Let's create your Info Release Form

Authors

Alex Denne

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