1. Revocation Rights: Details about the right to withdraw authorization and the process for doing so. Include when the authorization is for an extended period or ongoing basis.

2. Security Measures: Description of how the information will be secured during transmission and storage. Include when dealing with sensitive personal information or health records.

3. Third Party Disclosure: Provisions regarding whether and how information can be shared with additional third parties. Include when information might need to be shared beyond immediate recipients.

4. Special Categories of Information: Specific provisions for sensitive information categories (health, financial, etc.). Include when dealing with regulated categories of information.

5. Fees and Charges: Any costs associated with the information release. Include when there are processing or administrative fees.

1. Schedule A - Information Details: Detailed list of specific documents, records, or information types covered by the authorization

2. Schedule B - Authorized Recipients List: Complete list of authorized recipients and their contact details, if multiple recipients are involved

3. Schedule C - Identity Verification Requirements: Specific requirements and procedures for verifying the identity of parties requesting or receiving information

4. Appendix 1 - Privacy Policy Summary: Summary of relevant privacy policies and procedures affecting the information release