Simple Consent Form Template for Belgium

A Simple Consent Form under Belgian law is a legally binding document that complies with both Belgian civil law and GDPR requirements, designed to obtain and record valid consent from individuals for specific purposes. The document ensures transparency in data processing activities while protecting both the rights of the individual and the interests of the organization. It includes mandatory elements required by GDPR such as clear purpose specification, right to withdraw consent, and detailed information about data processing activities, all structured in compliance with Belgian legal requirements and available in the appropriate official language(s) depending on the region (Dutch, French, or German).

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What is a Simple Consent Form?

The Simple Consent Form is a fundamental document used in Belgium to comply with both GDPR and Belgian data protection laws when obtaining permission for specific activities involving personal data. This document is essential whenever an organization needs explicit consent as their legal basis for processing personal data under Article 6(1)(a) of GDPR. The form must be presented in clear, plain language and should be easily distinguishable from other matters. It should clearly state the purpose of the data processing, detail the rights of the data subject, and include information about data retention periods. The Simple Consent Form must be available in the appropriate official language(s) of the relevant Belgian region (Dutch in Flanders, French in Wallonia, or both in Brussels) and should be structured to demonstrate that consent was freely given, specific, informed, and unambiguous, as required by both GDPR and Belgian data protection law.

What sections should be included in a Simple Consent Form?

1. Title and Date: Clear identification of the document as a consent form and the date of execution

2. Parties: Identification of the organization requesting consent and the individual giving consent, including full names and relevant contact details

3. Background: Brief context explaining why consent is being requested

4. Definitions: Clear explanations of key terms used in the consent form

5. Purpose of Consent: Clear and specific description of what the individual is consenting to

6. Nature of Data Processing: Description of how the personal data will be collected, used, and stored

7. Duration: Period for which the consent will remain valid

8. Rights of the Data Subject: Explanation of individual's rights including right to withdraw consent

9. Declaration of Consent: Clear statement of consent with signature block

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

1. Third Party Disclosures: Section detailing any third parties with whom data may be shared - include when data will be shared with other organizations

2. International Transfers: Information about any international data transfers - include when data will be processed outside the EU

3. Special Categories of Data: Specific consent for processing sensitive data - include when handling health, biometric, or other sensitive data

4. Children's Data: Additional provisions for consent regarding minors - include when the data subject may be under 16

5. Marketing Preferences: Specific consent for marketing communications - include when data will be used for marketing purposes

6. Photography/Media Release: Specific consent for use of images or recordings - include when collecting photo/video content

What schedules should be included in a Simple Consent Form?

1. Privacy Notice: Detailed information about data processing practices and privacy policies

2. Data Processing Activities: Detailed list of specific data processing activities covered by the consent

3. Contact Information: Comprehensive contact details for data protection queries and rights exercise

4. Withdrawal Form: Template form for withdrawing consent

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 sections are optional to include in a Simple Consent Form?

What schedules should be included in a Simple Consent Form?

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