The Release of Information Form is a crucial document used in Malaysia when there is a need to formally authorize the sharing of personal information between organizations or individuals. This document, structured in accordance with Malaysian data protection laws, particularly the Personal Data Protection Act 2010, ensures that proper consent is obtained before any information transfer occurs. It is commonly used in healthcare, financial services, and other sectors where sensitive personal data needs to be shared. The form includes specific details about the information being released, the purpose of the release, the duration of the authorization, and the rights of the data subject. It serves as both a legal record of consent and a clear instruction document for information handling.
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1. Identification of Parties: Details of the data subject (person whose information is being released), the organization releasing the information, and the recipient organization/person
2. Purpose Statement: Clear explanation of why the information is being requested and how it will be used
3. Information to be Released: Specific description of what information will be shared, including type, date range, and format
4. Duration of Authorization: Time period for which the authorization is valid, including start and end dates
5. Rights Statement: Statement of the data subject's rights under PDPA 2010, including right to withdraw consent
6. Consent Declaration: Clear statement of consent with confirmation that the form has been understood
7. Signature Block: Space for signatures, dates, and witness details if required
1. Medical Information Special Consent: Additional consent section specifically for medical records, required when releasing health information
2. Third Party Authorization: Section authorizing another person to act on behalf of the data subject, used when the data subject cannot act for themselves
3. Financial Information Release: Specific section for releasing financial records, required when financial information is involved
4. Digital Data Transfer: Section specifying terms for electronic transfer of information, used when information will be shared digitally
5. International Transfer Clause: Required when information will be transferred outside Malaysia, addressing cross-border data transfer requirements
6. Urgency Declaration: Section for cases requiring expedited processing, used in emergency situations
1. Schedule A - Detailed Information List: Comprehensive list of specific documents/information to be released
2. Schedule B - Authorized Recipients: List of specific individuals/organizations authorized to receive the information
3. Appendix 1 - Identity Verification Documents: Copies or details of documents used to verify the identity of the data subject
4. Appendix 2 - Special Instructions: Any special handling instructions or restrictions for the released information
Relevant legal definitions
Personal Data
Sensitive Personal Data
Data Subject
Releasing Organization
Recipient Organization
Authorized Representative
Consent
Identity Card
Information Release
Authorization Period
Processing
Confidential Information
Records
Purpose
Transfer
Documentation
Written Notice
Verification
Security Measures
Access Rights
Sensitive Personal Data
Data Subject
Releasing Organization
Recipient Organization
Authorized Representative
Consent
Identity Card
Information Release
Authorization Period
Processing
Confidential Information
Records
Purpose
Transfer
Documentation
Written Notice
Verification
Security Measures
Access Rights
Clauses
Consent
Information Scope
Purpose of Release
Duration
Data Protection
Confidentiality
Rights and Obligations
Authorization
Revocation
Liability
Security Measures
Transfer Restrictions
Access Rights
Documentation Requirements
Verification Procedures
Processing Limitations
Third Party Disclosure
Emergency Procedures
Governing Law
Signature Requirements
Information Scope
Purpose of Release
Duration
Data Protection
Confidentiality
Rights and Obligations
Authorization
Revocation
Liability
Security Measures
Transfer Restrictions
Access Rights
Documentation Requirements
Verification Procedures
Processing Limitations
Third Party Disclosure
Emergency Procedures
Governing Law
Signature Requirements
Relevant Industries
Healthcare
Financial Services
Education
Legal Services
Insurance
Government Services
Technology
Telecommunications
Human Resources
Professional Services
Relevant Teams
Legal
Compliance
Privacy Office
Human Resources
Information Security
Records Management
Operations
Administrative Services
Risk Management
Client Services
Relevant Roles
Privacy Officer
Compliance Manager
Legal Counsel
Data Protection Officer
Medical Records Administrator
HR Manager
Information Security Officer
Risk Manager
Operations Manager
Administrative Coordinator
Healthcare Administrator
Financial Services Manager
Records Manager
Compliance Officer
Client Services Manager
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