The Release of Information Request Form is a critical document used in Nigeria when an individual or organization needs to formally request access to personal or confidential information held by another party. This document has become increasingly important since the implementation of the Nigeria Data Protection Regulation (NDPR) 2019, which establishes strict requirements for data protection and information sharing. The form serves as both a request mechanism and a record of authorization, protecting the rights of the information subject while providing necessary documentation for the information holder. It is designed to capture all essential elements required by Nigerian law, including clear purpose specification, consent documentation, and data protection commitments. This document is particularly relevant in healthcare, financial services, and other sectors where personal data processing is common, and must be handled in accordance with Nigerian privacy laws and regulations.

1. Form Title and Reference Number: Clear identification of the document as a Release of Information Request Form with a unique reference number

2. Requestor Information: Details of the person/organization requesting the information, including full name, contact details, and relationship to the subject

3. Subject Information: Details of the person whose information is being requested, including full name, date of birth, and contact information

4. Information Requested: Specific description of the information being requested, including relevant dates and types of records

5. Purpose of Request: Clear statement of why the information is being requested and how it will be used

6. Authorization Statement: Formal declaration authorizing the release of information, including validity period

7. Data Protection Notice: Statement explaining how the requested information will be protected and handled in accordance with NDPR 2019

8. Signature Block: Space for signatures of the subject (or authorized representative) and date