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CONSENT TO DISCLOSURE OF INFORMATION Exception section 19×3)(e) Criminal Records (Clean Slate) Act 2004 To: Licensing and Vetting Service Center Police National Headquarters Wellington. To be completed

How to fill out consent to disclosure of

How to fill out consent to disclosure of:

1. Start by reading the consent form carefully and understanding its purpose. This form is typically used to grant permission for the disclosure of sensitive or personal information.
2. Begin by providing your personal details, such as your full name, address, contact information, and any other necessary identification details. Ensure that this information is accurate and up to date.
3. Specify the purpose of the disclosure. Indicate the specific reason or situation for which you are granting consent for the disclosure of your information. This could be for medical purposes, legal matters, employment verification, or any other relevant reason.
4. Identify the recipient of the disclosed information. State the name and contact information of the individual, organization, or entity to whom you are authorizing the disclosure. It is important to provide accurate details to ensure that the information reaches the intended recipient.
5. Specify the type of information being disclosed. Clearly state what kind of information is being authorized for disclosure. This could include medical records, financial information, educational records, or any other relevant category.
6. Review the terms and conditions of the consent form. Ensure that you understand the rights and limitations associated with granting consent to disclose your information. Take note of any time restrictions, limitations on the disclosure, or any other clauses mentioned in the form.
7. If there are any additional instructions or requirements, carefully follow them and provide the necessary information accordingly. This could include signing and dating the consent form, attaching relevant supporting documents, or including any additional notes or instructions.

Who needs consent to disclosure of:

1. Individuals who have sensitive or personal information that needs to be disclosed to a third party, such as doctors, lawyers, employers, or educational institutions, will often need to provide consent for the disclosure.
2. In certain cases, a legal guardian or representative may need to provide consent on behalf of the individual, especially if they are a minor, incapacitated, or unable to give consent themselves.
3. Organizations or entities that handle personal information, such as medical facilities, institutions, or businesses, may also require consent to disclosure from the individual before sharing their personal information.

Overall, anyone who wishes to have control over their personal information and ensure that it is disclosed only under specific circumstances needs to provide consent to disclosure. It is important to carefully consider the purpose, recipient, and type of information being disclosed before granting consent.

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