Consent Authorization Form Template for Saudi Arabia

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Key Requirements PROMPT example:

Consent Authorization Form

"I need a Consent Authorization Form for my medical clinic in Riyadh that complies with Saudi PDPL, covering patient data collection and sharing with insurance providers, to be implemented by March 2025."

Document background

The Consent Authorization Form is a critical document required under Saudi Arabian law for organizations collecting and processing personal data. This document became particularly important following the implementation of the Personal Data Protection Law (PDPL) in Saudi Arabia, which established strict requirements for obtaining explicit consent from data subjects. The form must be used whenever an organization intends to collect, process, store, or transfer personal data of individuals within Saudi jurisdiction. It contains detailed information about the purpose of data collection, processing activities, data subject rights, and data protection measures. The document must comply with both PDPL requirements and Sharia law principles, making it essential for organizations to maintain proper documentation of consent in their data processing activities.

Suggested Sections

1. Title and Date: Clear identification of the document as a Consent Authorization Form with date of execution

2. Parties: Identification of the data subject (person giving consent) and the data controller (organization receiving consent), including full legal names and contact details

3. Background: Brief context explaining the purpose of the consent authorization

4. Definitions: Clear definitions of key terms used in the form, including 'Personal Data', 'Processing', 'Consent', and other relevant terms as defined in PDPL

5. Purpose of Data Collection: Specific description of why the personal data is being collected and how it will be used

6. Data Categories: Detailed list of personal data categories that will be collected and processed

7. Processing Activities: Description of all processing activities that will be performed on the personal data

8. Rights of the Data Subject: Clear explanation of the individual's rights under PDPL, including right to withdraw consent

9. Data Protection Measures: Overview of security measures implemented to protect the personal data

10. Duration of Consent: Specification of how long the consent will remain valid

11. Declaration and Signature: Formal consent statement and space for signature/electronic signature

Optional Sections

1. International Transfer of Data: Required when personal data may be transferred outside Saudi Arabia

2. Third Party Disclosure: Required when personal data may be shared with third parties

3. Specific Medical Consent: Required when the consent involves medical information or procedures

4. Parent/Guardian Authorization: Required when the data subject is a minor or legally incapacitated person

5. Digital Communication Consent: Required when the organization will use personal data for digital communications or marketing

6. Emergency Contact Authorization: Required when collecting and using emergency contact information

7. Photography/Media Consent: Required when collecting and using photographs or other media of the data subject

Suggested Schedules

1. Schedule 1: Detailed Data Categories: Comprehensive list of all personal data categories to be collected and processed

2. Schedule 2: Processing Activities Detail: Detailed description of each processing activity and its purpose

3. Schedule 3: Third Party Recipients: List of potential third-party recipients of the personal data, if applicable

4. Appendix A: Data Subject Rights Guide: Detailed guide explaining all rights of the data subject under PDPL

5. Appendix B: Privacy Policy Reference: Organization's privacy policy or reference to where it can be accessed

6. Appendix C: Withdrawal Procedure: Detailed procedure for withdrawing consent

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

alex.den.21@genieai.co

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Healthcare

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Legal

Compliance

Data Protection

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Data Protection Officer

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Compliance Manager

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IT Director

Chief Privacy Officer

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Chief Compliance Officer

Legal Operations Manager

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