The Release Request Form is a critical document used across various sectors in Australia when formal access to specific information, documents, or records is required. This document is designed to comply with Australian federal and state privacy legislation, including the Privacy Act 1988 (Cth) and the Australian Privacy Principles (APPs). The form is particularly important in situations where sensitive or personal information needs to be accessed, transferred, or released, ensuring proper authorization and documentation of the request. The Release Request Form typically includes detailed information about the requestor, the specific information being requested, the purpose of the request, and any relevant time periods or restrictions. It serves as a protective measure for both the requesting party and the information holder by clearly documenting the scope and terms of the release.
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1. Requesting Party Details: Full identification and contact details of the person/entity requesting the release
2. Subject Matter: Clear identification of what information, documents, or materials are being requested for release
3. Purpose of Request: Statement explaining why the release is being requested and how the information will be used
4. Authorization Statement: Clear statement authorizing the release of the specified information/materials
5. Time Period: Specification of the relevant time period for which information is being requested
6. Delivery Instructions: Details of how and where the released information should be provided
7. Declaration: Statement confirming the truth and accuracy of the information provided in the request
8. Execution Block: Space for signature, date, and witness details if required
1. Urgency Statement: Section to indicate if the request is urgent and requires expedited processing
2. Third Party Authorization: Additional section when the requesting party is acting on behalf of another person
3. Privacy Notice: Statement about how the information in the request form will be handled and protected
4. Fees Acknowledgment: Section acknowledging any applicable fees for the release of information
5. Additional Documentation Notice: Section listing any additional documents that need to be attached to support the request
6. Restricted Use Declaration: Statement specifying any restrictions on how the released information may be used
7. Withdrawal Rights: Information about the right to withdraw the request and any applicable conditions
1. Schedule A - Identification Documents: List of acceptable identification documents that must be attached to the request
2. Schedule B - Fee Schedule: If applicable, detailed breakdown of fees associated with different types of releases
3. Schedule C - Supporting Documentation Checklist: Checklist of required supporting documents based on the type of release being requested
4. Appendix 1 - Terms and Conditions: Standard terms and conditions applying to the release request
5. Appendix 2 - Privacy Statement: Detailed privacy statement explaining how the information will be handled
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Financial Services
Education
Government
Legal Services
Human Resources
Insurance
Media and Entertainment
Professional Services
Real Estate
Corporate Services
Telecommunications
Relevant Teams
Legal
Compliance
Human Resources
Information Management
Risk Management
Operations
Administrative Services
Customer Service
Data Protection
Records Management
Relevant Roles
Privacy Officer
Compliance Manager
Legal Counsel
Records Manager
Human Resources Manager
Information Security Officer
Data Protection Officer
Risk Manager
Administrative Officer
Company Secretary
Operations Manager
Customer Service Manager
Medical Records Officer
Information Management Specialist
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