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General Consent Form Template for Netherlands

A comprehensive consent form template designed to comply with Dutch law and GDPR requirements, providing a structured framework for obtaining valid consent from individuals for various purposes including data processing, participation in activities, or specific permissions. The document incorporates key requirements from the Dutch GDPR Implementation Act (UAVG) and relevant provisions of the Dutch Civil Code, ensuring that consent is freely given, specific, informed, and unambiguous. It includes mandatory information about data subject rights, processing purposes, and withdrawal procedures, while maintaining flexibility to be customized for specific organizational needs.

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What is a General Consent Form?

The General Consent Form serves as a vital legal instrument for organizations operating in the Netherlands to obtain and document valid consent from individuals. This document is essential when organizations need explicit permission for activities such as personal data processing, participation in research, use of images/media, or medical procedures. The form is structured to comply with the Dutch GDPR Implementation Act (UAVG), the European General Data Protection Regulation (GDPR), and relevant provisions of the Dutch Civil Code. Organizations should use this General Consent Form when they need to demonstrate compliance with legal requirements for obtaining informed consent, particularly in situations involving personal data processing or where explicit permission is required by law. The document includes comprehensive information about the nature of consent, rights of individuals, and specific details about the processing activities or permissions being granted.

What sections should be included in a General Consent Form?

1. Personal Details: Section for the individual's identification information including name, contact details, and any relevant ID numbers

2. Purpose of Consent: Clear explanation of what the consent is being requested for, including specific activities or processing operations

3. Nature of Consent: Detailed description of what the individual is agreeing to, written in clear, plain language

4. Rights of the Individual: Explanation of the individual's rights, including the right to withdraw consent

5. Duration of Consent: Specification of how long the consent will remain valid

6. Declaration: Formal statement of consent with signature block and date

7. Data Controller Information: Complete contact information for the organization requesting consent

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

1. Medical Information Consent: Additional section when consent involves medical data or treatment, incorporating WGBO requirements

2. Third Party Disclosure: Section detailing any third parties with whom information may be shared

3. International Transfer: Required when personal data may be transferred outside the EU/EEA

4. Marketing Preferences: Optional section for consent to marketing communications

5. Photography/Media Release: Section for consent to use of images or recordings

6. Parent/Guardian Consent: Required when the subject is a minor or lacks capacity

7. Electronic Communication Consent: Section for consent to electronic communications and notices

What schedules should be included in a General Consent Form?

1. Privacy Notice: Detailed information about how personal data will be processed, stored, and protected

2. List of Processing Activities: Specific list of all data processing activities covered by the consent

3. Third Party Recipients: List of all third parties who may receive or process the data

4. Data Subject Rights Guide: Detailed explanation of all rights under GDPR and how to exercise them

Authors

Alex Denne

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

Jurisdiction

Netherlands

Publisher

Genie AI

Document Type

Consent Form

Cost

Free to use

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