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1. Parties: Identification of the individual authorizing release of information (the 'Authorizing Party') and the institution/entity authorized to release the information (the 'Financial Institution')
2. Background: Brief context explaining the purpose of the information release and the relationship between the parties
3. Definitions: Key terms used in the form including 'Financial Information', 'Authorized Recipients', 'Confidential Information', etc.
4. Scope of Authorization: Detailed description of what financial information is authorized for release, including account types, date ranges, and specific data points
5. Purpose of Disclosure: Clear statement of the specific purpose(s) for which the information may be used
6. Duration of Authorization: Specification of how long the authorization remains valid, including start and end dates
7. Rights and Responsibilities: Overview of the rights retained by the authorizing party and responsibilities of the financial institution
8. Data Privacy Notice: Statement of compliance with the Data Privacy Act and related privacy protections
9. Execution: Signature blocks and execution requirements including witnessing if required
1. Third Party Recipients: Additional section when information is to be shared with specific third parties beyond the primary recipient
2. Revocation Procedure: Detailed process for revoking the authorization before its expiration date
3. International Transfer: Additional provisions when financial information may be transferred outside the Philippines
4. Special Instructions: Any specific handling instructions or restrictions on the use of the information
5. Fee Authorization: Include when there are fees associated with the information release that the authorizing party agrees to pay
1. Schedule A - Account Details: List of specific accounts and financial products covered by the authorization
2. Schedule B - Authorized Recipients: Detailed list of all authorized recipients and their contact information when multiple recipients are involved
3. Schedule C - Required Documentation: List of supporting documents that must be submitted with the form
4. Appendix 1 - ID Requirements: Acceptable forms of identification and verification requirements
5. Appendix 2 - Privacy Policy Summary: Summary of relevant privacy policy provisions and data protection measures
Financial Institution
Authorized Recipients
Financial Information
Confidential Information
Personal Information
Sensitive Personal Information
Account Information
Authorization Period
Banking Day
Consent
Data Privacy Act
Disclosure
Electronic Records
Financial Records
Financial Statements
Legitimate Purpose
Personal Data
Processing
Regulated Entity
Release Authorization
Requesting Party
Security Measures
Third Party
Transaction History
Written Notice
Banking & Financial Services
Insurance
Real Estate
Legal Services
Accounting & Audit
Credit Services
Investment Management
Corporate Services
Government & Public Sector
Healthcare Finance
Education Finance
Legal
Compliance
Risk Management
Operations
Customer Service
Credit Administration
Data Protection
Audit
Finance
Client Relations
Documentation
Compliance Officer
Data Protection Officer
Legal Counsel
Risk Manager
Financial Controller
Credit Analyst
Banking Operations Manager
Account Manager
Financial Advisor
Audit Manager
Customer Service Representative
Branch Manager
Loan Officer
Investment Manager
Relationship Manager
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