The Consent To Release Information Form is a critical document used in the United Arab Emirates when one party needs to formally authorize the release of their personal, professional, or confidential information to specified recipients. This document has become increasingly important with the implementation of Federal Decree Law No. 45 of 2021 and other UAE data protection regulations, which require explicit consent for information sharing. The form is commonly used in healthcare settings, financial institutions, educational institutions, and various professional services where confidential information needs to be shared with third parties. It includes specific details about the information to be released, the purpose of the release, the duration of the authorization, and the rights of the data subject under UAE law. The document must be drafted to ensure compliance with both federal and emirate-specific regulations while maintaining clarity and enforceability.
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1. Identification of Parties: Details of the individual giving consent (data subject), the organization/person requesting the information, and the organization/person authorized to release the information
2. Purpose of Disclosure: Clear statement of why the information is being requested and how it will be used
3. Information to be Released: Specific description of the information authorized for release, including type, scope, and time period of information
4. Duration of Authorization: Time period for which the consent remains valid, including start and expiry dates
5. Rights and Disclaimers: Statement of the individual's rights under UAE data protection laws, including right to withdraw consent
6. Authorization Statement: Formal declaration of consent with space for signature, date, and witness details if required
1. Medical Information Specific Provisions: Additional provisions required when the consent involves medical records or health information, in compliance with UAE Federal Law No. 2 of 2019
2. Financial Information Provisions: Special provisions for release of financial information, required when dealing with banking or financial records
3. Digital Data Transfer Details: Specific provisions regarding electronic transfer of information, including security measures and protocols
4. Third Party Recipients: Section identifying additional parties who may receive the information, if applicable
5. Translation Declaration: Required when the form is presented in multiple languages, confirming the accuracy of translation
1. Schedule A - Detailed Information List: Comprehensive list of specific information/documents authorized for release
2. Schedule B - Authorized Recipients: List of specific individuals or entities authorized to receive the information
3. Appendix 1 - Identity Verification Documents: Copies or details of identity verification documents required for processing the request
4. Appendix 2 - Privacy Notice: Detailed privacy notice explaining how the information will be handled and protected
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Banking & Financial Services
Insurance
Education
Real Estate
Government Services
Professional Services
Employment Services
Telecommunications
Legal Services
Relevant Teams
Legal
Compliance
Human Resources
Information Security
Risk Management
Operations
Administrative Services
Customer Service
Records Management
Data Protection
Relevant Roles
Compliance Officer
Legal Counsel
HR Manager
Privacy Officer
Data Protection Officer
Information Security Manager
Risk Manager
Medical Records Administrator
Financial Controller
Operations Manager
Administrative Manager
Customer Service Manager
Records Manager
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