Release Of Student Information Form for Philippines

Release Of Student Information Form Template for Philippines

A comprehensive legal document designed for Philippine educational institutions to obtain explicit consent for the release of student information in compliance with the Data Privacy Act of 2012 (RA 10173) and relevant Department of Education orders. This form serves as a formal authorization mechanism that allows schools to share specified student information with designated recipients while protecting student privacy rights and maintaining regulatory compliance. The document includes detailed specifications of the information to be released, purpose of release, duration of authorization, and necessary consent signatures, incorporating specific requirements under Philippine data protection laws.

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What is a Release Of Student Information Form?

The Release of Student Information Form is a critical document used in Philippine educational institutions to ensure compliant handling of student data. This document becomes necessary whenever there is a need to share student information with third parties, whether for academic transfers, employment verification, or other legitimate purposes. It is designed in accordance with the Data Privacy Act of 2012 and various Department of Education orders that govern student information handling. The form serves as both a protective measure for student privacy and a legal authorization tool for institutions. It typically includes comprehensive details about the specific information to be released, the purpose of release, duration of authorization, and necessary consents, while incorporating safeguards required by Philippine privacy laws and educational regulations.

What sections should be included in a Release Of Student Information Form?

1. Student Information: Basic identifying information about the student including full name, student ID number, current grade level/year, and program/course

2. Parent/Guardian Information: Details of parent or legal guardian for minors, including full name, relationship to student, and contact information

3. Information to be Released: Specific details of what information is authorized for release (e.g., academic records, attendance records, behavioral records, health records)

4. Purpose of Release: Clear statement of the intended purpose for releasing the information and who will receive it

5. Duration of Authorization: Timeframe for which the authorization is valid, including start and end dates if applicable

6. Data Privacy Notice: Statement regarding rights under the Data Privacy Act and how the information will be protected

7. Authorization Statement: Formal declaration of consent to release the specified information

8. Signature Block: Space for signatures of student (if of legal age), parent/guardian, and school representative, with dates

What sections are optional to include in a Release Of Student Information Form?

1. Emergency Contact Release: Additional section for authorizing release of emergency contact information, used when specifically requested

2. Special Education Records: Section specifically for release of special education or accommodation-related records, included only if applicable

3. Medical Information Release: Specific authorization for release of medical/health records, used when medical information is involved

4. Third Party Authorization: Section authorizing specific third parties to request information, used when multiple parties need access

5. Digital Communication Consent: Authorization for releasing information through digital means, included when electronic transmission is anticipated

What schedules should be included in a Release Of Student Information Form?

1. Schedule A - Types of Information: Detailed checklist of specific types of student information that may be released

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

3. Appendix 1 - Privacy Rights Notice: Detailed explanation of student/parent rights under the Data Privacy Act

4. Appendix 2 - School Policy Extract: Relevant excerpts from school policies regarding information handling and release

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

Cost

Free to use

Relevant legal definitions

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Education

Higher Education

K-12 Education

Special Education

Educational Technology

Healthcare (for medical records)

Student Services

Educational Consulting

Government Education Departments

Private Education

Relevant Teams

Legal

Compliance

Administrative

Student Affairs

Registrar Office

Data Protection

Academic Affairs

Enrollment Services

Records Management

Student Services

Relevant Roles

School Administrator

Registrar

Data Protection Officer

Compliance Officer

School Principal

Academic Director

Admissions Officer

Student Services Coordinator

Education Consultant

Privacy Officer

Records Manager

School Legal Counsel

Academic Coordinator

Administrative Officer

Enrollment Manager

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What is a Release Of Student Information Form?

What sections should be included in a Release Of Student Information Form?

What sections are optional to include in a Release Of Student Information Form?

What schedules should be included in a Release Of Student Information Form?

Authors

Alex Denne

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