1. Time Limitation: Specific period for which the permission is valid - used when the authorization should not be indefinite

2. Revocation Rights: Statement about the right to revoke permission - included when there needs to be clear understanding about cancellation rights

3. Special Handling Instructions: Any specific requirements for how the information should be handled - used when there are security or confidentiality concerns

4. Re-disclosure Restrictions: Limitations on further sharing of the information - included when there are concerns about information being passed on to other parties

5. Witness Section: Space for witness signature and details - used when additional verification of signing is required

6. Copy Recipients: List of other parties to receive copies - used when multiple parties need to be informed

1. Schedule A - Detailed Information List: Comprehensive list of specific information authorized for disclosure when too detailed for main letter

2. Schedule B - Authorized Recipients List: Detailed list of all authorized recipients when there are multiple parties

3. Schedule C - Supporting Documentation: Copies of relevant ID or supporting documents that verify the authority to grant permission