The Customer Consent Form is a crucial document required by Canadian organizations that collect, use, or disclose personal information in the course of their commercial activities. This document is mandated by PIPEDA and various provincial privacy laws, requiring organizations to obtain meaningful consent before handling personal information. The form must clearly explain what information is being collected, why it's needed, how it will be used, and with whom it may be shared. It should be written in clear, accessible language while maintaining legal compliance. The document becomes particularly important when dealing with sensitive information, international data transfers, or when specific types of consent (express vs. implied) are required by law.
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1. Identification of Parties: Details of the organization collecting consent and the customer providing consent, including full legal names and contact information
2. Purpose of Collection: Clear explanation of why personal information is being collected and how it will be used
3. Information Being Collected: Detailed list of all personal information that will be collected and stored
4. Use and Disclosure: Explanation of how the collected information will be used, shared, or disclosed to third parties
5. Storage and Security: Description of how the information will be stored and protected
6. Duration: How long the consent remains valid and when/how information will be destroyed
7. Rights and Access: Customer's rights regarding their personal information, including access, correction, and withdrawal of consent
8. Declaration and Signature: Formal declaration of consent and space for signature, date, and witness if required
1. Marketing Communications: Optional section for specific consent to receive marketing materials - required if the organization plans to send promotional materials
2. Health Information Consent: Additional section required when collecting health-related information, ensuring compliance with health privacy laws
3. International Data Transfer: Required when personal information may be transferred or stored outside of Canada
4. Photography/Media Release: Optional section for consent to use customer's image or recordings, if applicable
5. Minor Consent: Additional section required when the subject of the consent is under the age of majority
1. Schedule A - Detailed Data Collection List: Comprehensive list of all types of personal information that may be collected
2. Schedule B - Third Party Recipients: List of third parties with whom the information may be shared, including their privacy policies
3. Schedule C - Privacy Policy: Organization's complete privacy policy or reference to where it can be found
4. Appendix 1 - Withdrawal Form: Template form for withdrawing consent in the future
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