Customer Consent Form Template for England and Wales

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Key Requirements PROMPT example:

Customer Consent Form

"I need a Customer Consent Form for my healthcare clinic in London that specifically covers the collection and processing of patient medical data, including sharing information with other NHS providers and insurance companies, to be implemented by March 2025."

Document background
The Customer Consent Form is essential for businesses operating in England and Wales that collect and process personal data. This document is required to comply with UK data protection legislation, particularly the UK GDPR and Data Protection Act 2018. It serves as evidence that explicit consent has been obtained from individuals before processing their personal data. The form should clearly outline the purpose of data collection, how it will be used, stored, and shared, and inform individuals of their rights regarding their personal data. A well-drafted Customer Consent Form helps organizations demonstrate compliance with data protection principles and builds trust with customers by being transparent about data handling practices.
Suggested Sections

1. Personal Information: Collection of basic information about the consenting individual including name, contact details, and any relevant identifiers

2. Purpose of Consent: Clear explanation of what the individual is consenting to, including specific activities and data processing purposes

3. Data Processing Details: Specific information about how personal data will be collected, used, stored, and for how long it will be retained

4. Rights Statement: Comprehensive information about the individual's rights under GDPR and other relevant legislation, including right to withdraw consent

5. Declaration: Formal statement of consent with signature section, date, and confirmation of understanding

Optional Sections

1. Marketing Preferences: Section for specifying preferences regarding marketing communications, including email, phone, and postal marketing

2. Third Party Sharing: Details of any third parties data may be shared with and the purposes for such sharing

3. Special Category Data: Additional explicit consent section for processing sensitive personal data such as health information, religious beliefs, or biometric data

4. Children's Data Processing: Additional provisions when the consent form may be used for children, including parental consent requirements

Suggested Schedules

1. Privacy Notice: Detailed information about data processing practices, privacy policies, and data protection measures

2. List of Third Parties: Comprehensive list of organizations data may be shared with, including their roles and purposes

3. Data Processing Activities: Detailed breakdown of specific data processing activities, including purposes, legal bases, and retention periods

4. Contact Information: Complete contact details for the Data Controller, Data Protection Officer, and relevant supervisory authorities

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Industries

UK General Data Protection Regulation (UK GDPR): Core data protection legislation covering principles of data processing, lawful bases for processing, requirements for valid consent, rights of data subjects, and data protection principles

Data Protection Act 2018: UK's implementation of data protection standards, including specific provisions for consent and special category data handling

Privacy and Electronic Communications Regulations (PECR) 2003: Regulations governing electronic communications, marketing communications, and cookie consent requirements

Consumer Rights Act 2015: Legislation ensuring fair and transparent terms, clear language requirements, and consumer protection provisions in contracts

Consumer Contracts Regulations 2013: Regulations covering information requirements, right to withdraw consent, and distance selling provisions

Age-appropriate Design Code: Guidelines for services likely to be accessed by children, providing additional protections for minors

Equality Act 2010: Legislation covering accessibility requirements and non-discrimination provisions in service delivery

Common Law principles: Fundamental legal principles covering contract formation, capacity to consent, and misrepresentation

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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