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Rupert District Council Private Bag 1001, Taumarunui 3946 Phone 07 895 8188 or 06 385 8364 Email: info@ruapehudc.govt.nz Website: www.ruapehudc.govt.nz Facebook: ruapehudcRuapehu District Unaffected

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How to fill out affected persons consent form

01

Ensure the affected person reads and understands the consent form.

02

Provide clarification on any sections that may be unclear to the affected person.

03

Have the affected person sign and date the consent form to indicate their agreement.

04

Witness the affected person signing the form, if required.

05

Keep a copy of the signed consent form for records.

Who needs affected persons consent form?

01

Anyone who is directly impacted or affected by a certain situation or decision may need to fill out an affected person's consent form.

02

This can include patients in a healthcare setting, participants in a research study, or individuals involved in legal proceedings.

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What is affected persons consent form?

The affected persons consent form is a document that obtains permission from individuals who may be impacted by a specific action, project, or study, ensuring their rights and interests are respected.

Who is required to file affected persons consent form?

Individuals or organizations who plan to undertake projects that may affect people's rights or interests are typically required to file the affected persons consent form.

How to fill out affected persons consent form?

To fill out the affected persons consent form, individuals must provide personal information, detail the project or action, explain potential impacts, and obtain signatures from affected persons agreeing to the proposed plan.

What is the purpose of affected persons consent form?

The purpose of the affected persons consent form is to ensure that affected individuals are informed and give their voluntary consent regarding projects or actions that may impact them.

What information must be reported on affected persons consent form?

The affected persons consent form must report the affected individuals' names, contact information, a description of the project, estimated impacts, and confirmation of informed consent.

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