The Authorization To Release Information document is a crucial legal instrument in Malaysia used when one party needs to formally permit another party to access or share specific information. This document is particularly important in light of Malaysia's stringent data protection requirements under the Personal Data Protection Act 2010 and related regulations. It is commonly used in situations involving medical records, financial information, employment details, or other confidential data where formal authorization is required for disclosure. The document typically specifies the scope of information to be released, the duration of the authorization, and any conditions attached to the information's use. It serves as a protection mechanism for both the information holder and the requesting party, ensuring compliance with Malaysian privacy laws while facilitating necessary information sharing.
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1. Date and Place: Current date and location where the authorization is being made
2. Authorizing Party Details: Full name, identification number, contact information, and address of the person giving authorization
3. Recipient Organization Details: Name and details of the organization/entity authorized to release the information
4. Requesting Party Details: Name and details of the person/organization to whom the information will be released
5. Information Description: Specific description of the information authorized for release, including any relevant reference numbers or identifiers
6. Purpose Statement: Clear statement of the purpose for which the information is being released
7. Duration of Authorization: Validity period of the authorization, including start and end dates if applicable
8. Consent Declaration: Explicit statement of consent for information release, acknowledging understanding of the authorization
9. Signature Block: Space for authorizing party's signature, date, and witness signatures if required
1. Revocation Rights: Statement explaining the right to revoke the authorization and procedures for revocation - include when dealing with sensitive personal or medical information
2. Redisclosure Notice: Statement regarding whether the information can be redisclosed by the receiving party - important for medical or financial information
3. Consideration Statement: Statement confirming whether any payment was made for the authorization - include when required by specific regulations
4. Digital Signature Clause: Special provisions for electronic execution - include when the authorization will be signed digitally
5. Translation Certificate: Certificate confirming accurate translation if the document is bilingual - include when document is in multiple languages
1. Schedule A - Information Details: Detailed list or description of specific information to be released when too extensive for main document
2. Schedule B - Identity Verification: Copies of identification documents or verification requirements
3. Appendix 1 - Supporting Documents: Any required supporting documentation such as power of attorney or court orders
4. Appendix 2 - Special Instructions: Any special handling instructions or restrictions for the information release
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