Waiver Consent Form Template for Indonesia

A comprehensive legal document governed by Indonesian law that establishes a voluntary relinquishment of rights and assumption of risks by an individual (the releasor) in favor of another party (the releasee). The document complies with the Indonesian Civil Code (KUHPerdata) and must be provided in both Indonesian and English languages as per Law No. 24 of 2009. It includes detailed risk disclosures, clear acknowledgments of understanding, and specific provisions for liability release, while maintaining compliance with Indonesian consumer protection laws and fundamental rights that cannot be waived.

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What is a Waiver Consent Form?

The Waiver Consent Form is a critical legal instrument used in Indonesia when an individual needs to acknowledge and accept certain risks associated with participating in activities or receiving services. This document is essential in sectors where inherent risks exist, such as adventure sports, medical procedures, or educational activities. The form must comply with Indonesian legal requirements, including the Civil Code (KUHPerdata), Consumer Protection Law, and mandatory bilingual provisions. It serves to protect service providers while ensuring participants make informed decisions about risk assumption. The document typically includes detailed risk disclosures, emergency protocols, and clear statements of the rights being waived, while respecting non-waivable rights under Indonesian law.

What sections should be included in a Waiver Consent Form?

1. Parties: Identification of the party providing the waiver (releasor) and the party receiving the waiver (releasee), including full legal names, addresses, and any relevant identification numbers

2. Background: Brief context explaining the purpose of the waiver and the relationship between the parties

3. Definitions: Clear definitions of key terms used in the document, particularly technical terms or those with specific legal implications

4. Activity Description: Detailed description of the activity, service, or situation to which the waiver applies

5. Acknowledgment of Risks: Explicit statement of risks being assumed by the releasor, including both general and specific risks

6. Waiver Declaration: Clear statement of rights being waived and release of liability

7. Representations and Warranties: Statements confirming the releasor's capacity, understanding, and voluntary nature of the waiver

8. Governing Law: Specification of Indonesian law as the governing law and jurisdiction for disputes

9. Execution: Signature blocks, date, and witness provisions

What sections are optional to include in a Waiver Consent Form?

1. Medical Disclosure: Required when the activity involves physical risks or medical considerations, including disclosure of relevant medical conditions

2. Emergency Contact Information: Optional section for activities requiring emergency contact details

3. Photography and Media Release: Include when the activity may involve photography or media recording

4. Insurance Details: Required when specific insurance coverage is relevant to the waiver

5. Parent/Guardian Consent: Mandatory when the releasor is a minor or under legal guardianship

6. Severability Clause: Optional legal provision stating that if any part of the waiver is found invalid, the rest remains in effect

What schedules should be included in a Waiver Consent Form?

1. Schedule A - Risk Disclosure: Detailed list of specific risks associated with the activity

2. Schedule B - Safety Procedures: Outline of safety procedures and protocols that must be followed

3. Schedule C - Medical Questionnaire: Form for disclosing relevant medical information when applicable

4. Appendix 1 - Indonesian Language Translation: Mandatory Indonesian language version of the waiver as required by Law No. 24 of 2009

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

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An Indonesian-law compliant combined informed consent and health declaration document for medical procedures and treatments, meeting national healthcare regulatory requirements.

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Download a Standard Waiver Consent Form

Review your own Waiver Consent Form

What is a Waiver Consent Form?

What sections should be included in a Waiver Consent Form?

What sections are optional to include in a Waiver Consent Form?

What schedules should be included in a Waiver Consent Form?

Authors

Alex Denne

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