Permission To Release Information Form for Ireland

Permission To Release Information Form Template for Ireland

A comprehensive legal document governed by Irish law and compliant with GDPR requirements, designed to obtain explicit consent from individuals for the release of their personal information. This form serves as a formal authorization mechanism that details the specific information to be released, the purpose of the release, the intended recipients, and the duration of the authorization. It includes mandatory provisions for data subject rights under Irish data protection laws and GDPR, including the right to withdraw consent, and typically incorporates specific safeguards for special categories of personal data when applicable.

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What is a Permission To Release Information Form?

The Permission To Release Information Form is a critical document used in Ireland when an organization needs to obtain explicit consent to access, share, or transfer an individual's personal information. This document has become increasingly important since the implementation of GDPR and the Irish Data Protection Act 2018, which require clear documentation of consent for data processing activities. The form is essential for situations ranging from medical record transfers to employment verification requests, and must comply with strict Irish and EU data protection requirements. It typically includes detailed specifications about what information can be shared, with whom, for how long, and for what purpose, while also informing the data subject of their rights under applicable privacy laws.

What sections should be included in a Permission To Release Information Form?

1. Parties: Identification of the data subject (person whose information will be released) and the organization/entity requesting the release authorization

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

3. Definitions: Clear definitions of key terms used in the form, including types of information, third parties, and processing activities

4. Information to be Released: Specific description of the information/records to be released, including categories of personal data

5. Recipients of Information: Clear identification of who will receive the information, including any third parties

6. Purpose of Release: Explicit statement of why the information is being released and how it will be used

7. Duration of Authorization: Time period for which the authorization is valid

8. Rights of the Data Subject: Statement of rights under GDPR, including right to withdraw consent

9. Authorization Statement: Clear consent statement confirming voluntary authorization of information release

10. Execution: Signature blocks, date, and witness requirements if applicable

What sections are optional to include in a Permission To Release Information Form?

1. Special Categories of Data: Additional provisions required when releasing sensitive personal data such as health records, genetic data, or biometric data

2. International Transfer Provisions: Required when information may be transferred outside the EEA

3. Fee Provisions: Include when there are costs associated with the information release

4. Emergency Contact Authorization: Optional section for authorizing release of information to emergency contacts

5. Revocation Process: Detailed process for withdrawing consent, if more detailed than standard rights section

6. Digital Processing Statement: Required when information will be processed digitally or stored in electronic systems

What schedules should be included in a Permission To Release Information Form?

1. Schedule 1 - Details of Information: Detailed list or checklist of specific information/records to be released

2. Schedule 2 - Authorized Recipients: List of specific individuals or organizations authorized to receive the information

3. Schedule 3 - Processing Activities: Detailed description of how the information will be processed, stored, and used

4. Appendix A - Consent Withdrawal Form: Template form for withdrawing consent in the future

5. Appendix B - Privacy Notice: Detailed privacy notice explaining how the information will be handled in accordance with GDPR

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

Jurisdiction

Ireland

Publisher

Genie AI

Cost

Free to use
Relevant Industries

Healthcare

Financial Services

Education

Human Resources

Insurance

Legal Services

Government Services

Social Services

Banking

Recruitment

Real Estate

Professional Services

Relevant Teams

Legal

Compliance

Human Resources

Data Protection

Information Security

Risk Management

Operations

Administration

Medical Records

Customer Service

Privacy

Relevant Roles

Data Protection Officer

Compliance Manager

HR Manager

Medical Records Administrator

Privacy Officer

Legal Counsel

Information Security Manager

Risk Manager

Recruitment Manager

Office Administrator

Healthcare Administrator

Records Manager

Compliance Officer

Operations Manager

Industries
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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