The Authorization For Release Of Personal Information is a critical document used in New Zealand when an individual's personal information needs to be shared between organizations or parties. This document is essential for compliance with the Privacy Act 2020 and related privacy legislation in New Zealand. It is commonly used in situations where organizations need explicit consent to share personal information, such as medical records, employment history, financial information, or educational records. The authorization typically specifies what information can be shared, with whom, for what purpose, and for how long. This document helps organizations maintain compliance with privacy laws while facilitating necessary information sharing, and provides individuals with control over their personal information.
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1. Personal Details of Individual: Full identification details of the person whose information is to be released, including full name, date of birth, and contact information
2. Authorizing Party Details: Details of the person providing authorization (if different from above, e.g., parent/guardian), including their relationship to the individual
3. Recipient Organization Details: Full details of the organization(s) authorized to receive the information
4. Information to be Released: Specific description of the personal information authorized for release
5. Purpose of Release: Clear statement of the purpose(s) for which the information may be used
6. Duration of Authorization: Specific timeframe for which the authorization remains valid
7. Rights and Privacy Statement: Statement of individual's rights under the Privacy Act 2020 and the right to revoke authorization
8. Declaration and Signature: Formal declaration of understanding and consent, with space for signature and date
1. Special Handling Instructions: Additional instructions for handling sensitive information, used when dealing with particularly sensitive data or specific security requirements
2. Third Party Disclosure: Authorization for further disclosure to specified third parties, used when information may need to be shared beyond the primary recipient
3. Health Information Specifics: Specific provisions for health information under the Health Information Privacy Code, used when releasing medical records
4. Digital Communication Consent: Specific authorization for electronic transmission of information, used when digital sharing is anticipated
5. Emergency Contact: Details of emergency contact person, used when releasing sensitive information or in healthcare contexts
1. Schedule A - Types of Information: Detailed checklist or list of specific information types authorized for release
2. Schedule B - Authorized Recipients: Complete list of authorized recipients if multiple organizations are involved
3. Appendix 1 - Privacy Act Information: Summary of relevant Privacy Act principles and rights
4. Appendix 2 - Revocation Form: Template form for revoking the authorization if needed
Relevant legal definitions
Personal Information
Authorized Party
Recipient
Data Subject
Sensitive Information
Health Information
Authorization Period
Privacy Act
Disclosure
Agency
Information Privacy Principles
Consent
Third Party
Processing
Revocation
Confidential Information
Electronic Transmission
Record
Privacy Officer
Personal Representative
Authorized Purpose
Information Holder
Release
Authorized Party
Recipient
Data Subject
Sensitive Information
Health Information
Authorization Period
Privacy Act
Disclosure
Agency
Information Privacy Principles
Consent
Third Party
Processing
Revocation
Confidential Information
Electronic Transmission
Record
Privacy Officer
Personal Representative
Authorized Purpose
Information Holder
Release
Clauses
Authorization Grant
Scope of Information
Privacy Protection
Confidentiality
Duration and Expiry
Revocation Rights
Information Use
Data Security
Third Party Disclosure
Consent Declaration
Liability and Indemnity
Governing Law
Electronic Communications
Health Information Provisions
Access Rights
Record Keeping
Emergency Disclosure
Dispute Resolution
Scope of Information
Privacy Protection
Confidentiality
Duration and Expiry
Revocation Rights
Information Use
Data Security
Third Party Disclosure
Consent Declaration
Liability and Indemnity
Governing Law
Electronic Communications
Health Information Provisions
Access Rights
Record Keeping
Emergency Disclosure
Dispute Resolution
Relevant Industries
Healthcare
Financial Services
Education
Government Services
Insurance
Employment Services
Legal Services
Social Services
Real Estate
Telecommunications
Relevant Teams
Legal
Compliance
Human Resources
Information Security
Risk Management
Operations
Administration
Records Management
Privacy Office
Information Technology
Relevant Roles
Privacy Officer
Compliance Manager
Human Resources Manager
Legal Counsel
Data Protection Officer
Records Manager
Information Security Officer
Risk Manager
Healthcare Administrator
Office Manager
Administrative Coordinator
Recruitment Specialist
Benefits Administrator
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