Workers Compensation Release Of Information Form for Singapore

Workers Compensation Release Of Information Form Template for Singapore

A legal document used in Singapore that authorizes the release of medical and personal information related to workplace injuries or illnesses. This form complies with both the Work Injury Compensation Act (WICA) and Personal Data Protection Act (PDPA), allowing relevant parties to access necessary information for processing workers' compensation claims while maintaining data privacy requirements.

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What is a Workers Compensation Release Of Information Form?

The Workers Compensation Release Of Information Form is a critical document in Singapore's workplace injury management system. It becomes necessary when an employee suffers a workplace injury or illness and needs to process a compensation claim. The form ensures compliance with Singapore's strict data protection laws while facilitating the efficient processing of claims. It typically includes detailed information about the injury, medical records access permissions, and specific authorizations for information sharing between healthcare providers, insurers, and employers. This document is mandatory under WICA regulations and must align with PDPA requirements for data protection.

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

1. Employee Information: Personal details of employee including name, ID, contact information

2. Employer Information: Company details including registration number and contact information

3. Scope of Authorization: Specific types of information authorized for release

4. Purpose of Disclosure: Clear statement of why information is being released

5. Duration of Authorization: Time period for which authorization remains valid

6. Authorization Statement: Express consent statement and signature block

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

1. Third Party Authorization: Authorization for specific third parties to receive information, used when external parties need access

2. Specific Exclusions: List of information specifically excluded from release, used when certain data should be withheld

3. Emergency Contact: Alternative contact details, used in cases requiring urgent communication

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

1. List of Authorized Recipients: Detailed list of parties authorized to receive information

2. Types of Medical Records: Specific categories of medical information covered by the release

3. Privacy Notice: Detailed information about data protection and privacy measures

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

Jurisdiction

Singapore

Publisher

Genie AI

Cost

Free to use
Industries

Work Injury Compensation Act 2019 (WICA): Primary legislation governing work injury compensation in Singapore. Establishes framework for compensation claims, defines reporting requirements and information disclosure protocols.

Personal Data Protection Act 2012 (PDPA): Legislation governing personal data handling, including collection, use, and disclosure. Mandates informed consent requirements and data protection obligations.

Employment Act (Chapter 91): Basic employment legislation that provides context for employment relationships and working conditions in Singapore.

Workplace Safety and Health Act: Legislation covering accident reporting and investigation requirements, including provisions for handling workplace incident medical information.

Medical Registration Act: Governs the handling of medical records and medical information, particularly relevant for medical reports and assessments in work injury cases.

Consent Requirements: Key form considerations including scope of information release, purpose of disclosure, duration of authorization, and rights to revoke consent.

Data Protection Measures: Security and confidentiality requirements for handling sensitive medical and personal information in workers compensation cases.

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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