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Permission To Disclose Information Letter Template for Indonesia

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Key Requirements PROMPT example:

Permission To Disclose Information Letter

"I need a Permission to Disclose Information Letter under Indonesian law to allow my medical provider to share my complete health records with a specialist clinic in Jakarta for a six-month period starting March 1, 2025."

Document background
The Permission To Disclose Information Letter is a crucial document used in Indonesian business and legal contexts when formal authorization is needed to share confidential or personal information with specified parties. This document type has become increasingly important with the implementation of stricter data protection regulations in Indonesia, including the Electronic Information and Transactions Law and various ministerial regulations governing personal data protection. It serves as a legal safeguard for both the information provider and recipient, clearly documenting the scope of permitted disclosure, the specific information that may be shared, and any conditions or limitations on its use. The letter is particularly relevant in situations involving sensitive personal data, business confidential information, or regulated information that requires explicit consent for disclosure.
Suggested Sections

1. Date and Address Block: Current date and complete contact details of both the sender and recipient

2. Subject Line: Clear indication that this is a Permission to Disclose Information

3. Formal Greeting: Professional salutation to the recipient

4. Identity Declaration: Clear statement of the letter writer's identity, including any relevant identification numbers required under Indonesian law

5. Purpose Statement: Clear explanation of why the permission is being granted and the context of the information disclosure

6. Information Description: Specific details of what information is authorized to be disclosed

7. Recipient Authorization: Clear identification of who is authorized to receive the information

8. Duration of Permission: Timeframe for which the permission is valid

9. Consent Declaration: Explicit statement of consent meeting Indonesian legal requirements

10. Closing and Signature: Formal closing, signature block, and actual signature

Optional Sections

1. Specific Usage Limitations: Include when there are specific restrictions on how the disclosed information can be used

2. Revocation Rights: Include when specifying the process for withdrawing permission

3. Third Party Sharing Provisions: Include when the recipient may need to share information with other parties

4. Confidentiality Requirements: Include when the disclosed information requires specific confidentiality measures

5. Data Security Measures: Include when specific security measures must be followed in handling the information

Suggested Schedules

1. Description of Information: Detailed list or description of specific information being authorized for disclosure, used when the information is too extensive to include in the main letter

2. Authorized Recipients List: List of specific individuals or entities authorized to receive the information, used when there are multiple recipients

3. Required Security Protocols: Detailed security measures for handling the information, included when specific protocols must be followed

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok成人版 | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions






















Clauses




















Relevant Industries

Healthcare

Financial Services

Education

Insurance

Legal Services

Human Resources

Technology

Telecommunications

Government Services

Professional Services

Banking

Real Estate

Relevant Teams

Legal

Compliance

Data Protection

Human Resources

Information Security

Risk Management

Operations

Records Management

Customer Service

Privacy

Administrative Services

Relevant Roles

Data Protection Officer

Compliance Manager

Legal Counsel

Privacy Officer

Human Resources Manager

Information Security Officer

Risk Manager

Company Secretary

Records Manager

Operations Director

Chief Privacy Officer

Healthcare Administrator

Financial Controller

Customer Service Manager

Industries






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, 聽Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination, 聽Severance Pay, Governing Law, Entire Agreemen

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