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1. Parties: Identifies the individual providing consent (the 'Individual') and the organization requesting consent (the 'Organization')
2. Background: Explains the context and purpose for which consent is being sought
3. Definitions: Defines key terms used in the document including 'Personal Information', 'Sensitive Information', 'Disclosure', and other relevant terms
4. Purpose of Disclosure: Clearly states the specific purpose(s) for which the personal information will be disclosed
5. Information to be Disclosed: Details the exact categories and types of personal information that will be disclosed
6. Recipients of Information: Identifies the third parties to whom the information will be disclosed
7. Consent Declaration: Express statement of consent and confirmation that the consent is voluntary and informed
8. Rights and Withdrawing Consent: Explains the individual's rights regarding their personal information and how to withdraw consent
9. Privacy Protection Measures: Outlines the security measures and safeguards in place to protect the disclosed information
10. Execution: Signature blocks and execution details for all parties
1. Duration of Consent: Include when consent is time-limited or needs to specify an expiry date
2. Overseas Recipients: Include when personal information may be disclosed to overseas recipients, specifying countries and additional protections
3. Sensitive Information Handling: Include when dealing with sensitive information such as health records, criminal records, or biometric data
4. Third Party Authorization: Include when consent is being given by an authorized representative (e.g., parent, guardian, power of attorney)
5. Emergency Disclosure Provisions: Include when there may be circumstances requiring emergency disclosure of information
1. Schedule 1 - Categories of Personal Information: Detailed list of all specific personal information categories and items to be disclosed
2. Schedule 2 - Authorized Recipients: Complete list of third parties authorized to receive the personal information, including their contact details and roles
3. Schedule 3 - Privacy Policy Reference: Organization's privacy policy excerpts relevant to the handling of disclosed information
4. Appendix A - Consent Withdrawal Form: Template form for withdrawing consent in the future
Sensitive Information
Health Information
Consent
Disclosure
Organization
Individual
Authorized Representative
Third Party Recipient
Privacy Law
Australian Privacy Principles
Data Breach
Privacy Policy
Collection
Use
Storage
Processing
Security Measures
Confidential Information
Withdrawal Notice
Identity Document
Authorized Purpose
Privacy Officer
Data Subject
Record
Information Collection
Purpose of Disclosure
Scope of Disclosure
Third Party Recipients
Data Security
Privacy Protection
Confidentiality
Rights and Obligations
Withdrawal of Consent
Duration and Termination
Overseas Transfer
Data Breach Notification
Record Keeping
Access and Correction
Complaint Handling
Liability and Indemnity
Governing Law
Emergency Disclosure
Amendment
Healthcare
Financial Services
Education
Government
Professional Services
Insurance
Telecommunications
Retail
Technology
Human Resources
Legal Services
Social Services
Research and Development
Legal
Compliance
Human Resources
Information Security
Data Privacy
Risk Management
Operations
Customer Service
Information Technology
Records Management
Administrative Services
Privacy Officer
Data Protection Officer
Compliance Manager
Legal Counsel
Human Resources Manager
Information Security Manager
Risk Manager
Records Manager
Operations Manager
Customer Service Manager
Healthcare Administrator
Financial Advisor
School Administrator
Research Coordinator
IT Security Manager
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