Model Consent Form Template for Belgium

This Model Consent Form is a comprehensive document designed to comply with Belgian law and GDPR requirements for obtaining valid consent for personal data processing. It incorporates all necessary elements required by Belgian data protection legislation and the EU GDPR, including clear purpose specification, data subject rights, and withdrawal mechanisms. The document is structured to be compliant with Belgium's linguistic requirements and can be adapted for use in Belgium's different linguistic regions. It includes specific provisions for data controller identification, processing purposes, data subject rights, and explicit consent declarations, all aligned with Belgian legal standards and European data protection principles.

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What is a Model Consent Form?

This Model Consent Form serves as a standardized template for organizations operating in Belgium to obtain valid consent for personal data processing activities. The document is designed to comply with both the EU General Data Protection Regulation (GDPR) and Belgian data protection law, particularly the Law of 30 July 2018. The form should be used whenever organizations need to obtain explicit consent for processing personal data, especially for special categories of data or specific processing activities requiring consent as a legal basis. It includes mandatory information about the data controller, processing purposes, data subject rights, and withdrawal mechanisms. The Model Consent Form can be customized for various sectors while maintaining compliance with Belgian linguistic requirements and GDPR principles of transparency and clarity.

What sections should be included in a Model Consent Form?

1. Data Controller Information: Clear identification of the organization collecting consent, including full legal name, registration number, address, and contact details of the Data Protection Officer (DPO) if applicable

2. Purpose of Processing: Clear and specific description of what the consent is being requested for, including all intended uses of the personal data

3. Types of Data Collected: Detailed list of all personal data that will be collected and processed

4. Data Subject Rights: Clear explanation of the rights under GDPR including right to withdraw consent, right to access, right to erasure, etc.

5. Duration of Processing: Information about how long the data will be stored and processed

6. Declaration of Consent: Clear statement of consent with checkbox or signature field, including confirmation that the data subject has read and understood all information

7. Signature Block: Space for date, name, and signature of the data subject (or legal representative if applicable)

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

1. International Data Transfers: Required when personal data will be transferred outside the EU/EEA, detailing the countries involved and safeguards in place

2. Automated Decision Making: Required when the processing involves automated decision-making or profiling, explaining the logic involved and consequences

3. Third Party Recipients: Required when data will be shared with third parties, listing the categories or specific names of recipients

4. Special Categories of Data: Required when processing special categories of data (health, biometric, etc.), with explicit consent requirements

5. Children's Data Processing: Required when collecting data from minors, including parental consent requirements

6. Marketing Preferences: Required when consent includes marketing communications, with separate opt-in choices for different channels

What schedules should be included in a Model Consent Form?

1. Privacy Notice: Detailed privacy policy providing comprehensive information about data processing activities

2. List of Processing Activities: Detailed breakdown of specific processing activities covered by the consent

3. Third Party Processors: Complete list of third-party data processors and their roles, if applicable

4. Security Measures: Description of technical and organizational measures in place to protect personal data

Authors

Alex Denne

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

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What is a Model Consent Form?

What sections should be included in a Model Consent Form?

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

What schedules should be included in a Model Consent Form?

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