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Disclosure Consent Form for New Zealand

Disclosure Consent Form Template for New Zealand

A comprehensive legal document designed to obtain explicit consent for the disclosure of personal information in compliance with New Zealand's Privacy Act 2020 and related privacy legislation. This document establishes the terms under which an individual's personal information may be collected, used, and disclosed to specified parties. It includes details about the types of information being disclosed, the purposes of disclosure, the recipients of the information, and the individual's privacy rights under New Zealand law. The form incorporates necessary safeguards and compliance measures required by New Zealand privacy regulations while ensuring transparency and informed consent.

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Disclosure Consent Form

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What is a Disclosure Consent Form?

The Disclosure Consent Form is a crucial document required in New Zealand whenever an organization needs to obtain explicit permission to share an individual's personal information with third parties. This document is essential for compliance with the Privacy Act 2020 and related privacy legislation in New Zealand. It should be used when collecting, using, or sharing personal information beyond the primary purpose of collection, particularly in situations involving sensitive data, health information, financial details, or when information will be shared with multiple parties or overseas recipients. The form serves as evidence of informed consent and helps organizations meet their privacy obligations while protecting individual privacy rights. A properly structured Disclosure Consent Form is particularly important given the significant penalties for privacy breaches under New Zealand law and the increasing focus on data protection globally.

What sections should be included in a Disclosure Consent Form?

1. Parties: Identifies the individual giving consent (the 'Individual') and the organization requesting consent (the 'Organization')

2. Background: Explains the context and purpose for which the consent is being sought

3. Definitions: Defines key terms used in the consent form, including 'Personal Information', 'Disclosure', and other relevant terms

4. Purpose of Disclosure: Clearly states the specific purpose(s) for which the personal information will be disclosed

5. Information to be Disclosed: Details the exact types and scope of personal information that will be disclosed

6. Recipients of Information: Identifies who will receive the disclosed information

7. Duration and Frequency: Specifies how long the consent remains valid and how often information may be disclosed

8. Individual's Rights: Outlines the individual's rights regarding their information, including right to access, correct, and withdraw consent

9. Privacy Safeguards: Describes how the information will be protected during and after disclosure

10. Declaration and Signature: Final section for the individual to acknowledge understanding and provide formal consent

What sections are optional to include in a Disclosure Consent Form?

1. Overseas Transfers: Required when personal information may be disclosed to recipients outside New Zealand

2. Health Information Specific Consent: Required when health information is being disclosed, incorporating specific requirements under the Health Information Privacy Code

3. Credit Information Disclosure: Required when credit information is being disclosed, incorporating requirements under the Credit Reporting Privacy Code

4. Emergency Contacts: Optional section for listing alternative contacts who may authorize disclosure in specific circumstances

5. Electronic Communication Consent: Required when consent includes authorization for electronic communications and notifications

6. Third Party Authorization: Required when the individual authorizes other specified persons to act on their behalf

What schedules should be included in a Disclosure Consent Form?

1. Schedule 1 - Types of Information: Detailed list of specific information types authorized for disclosure

2. Schedule 2 - Authorized Recipients: List of specific organizations or individuals authorized to receive the information

3. Schedule 3 - Purposes of Use: Detailed list of specific purposes for which the information may be used

4. Appendix A - Privacy Rights Summary: Summary of individual's privacy rights under New Zealand law

5. Appendix B - Security Measures: Details of security measures used to protect disclosed information

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

Jurisdiction

New Zealand

Document Type

Consent Form

Cost

Free to use
Relevant legal definitions





























Clauses

























Relevant Industries

Healthcare

Financial Services

Education

Insurance

Telecommunications

Professional Services

Government

Retail

Employment Services

Real Estate

Technology

Research and Development

Relevant Teams

Legal

Compliance

Human Resources

Information Security

Risk Management

Operations

Customer Service

Records Management

Information Technology

Privacy

Data Protection

Administrative Services

Relevant Roles

Privacy Officer

Compliance Manager

Legal Counsel

Data Protection Officer

Human Resources Manager

Information Security Manager

Risk Manager

Operations Manager

Healthcare Administrator

Financial Advisor

Recruitment Consultant

Research Coordinator

Customer Service Manager

Records Manager

IT Security 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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