Electronic Consent Form Template UK

The Electronic Consent Form Template UK is offered in multiple formats, including PDF, Word, and Google Docs, featuring both editable and printable versions.


Sample

Electronic Consent Form Template UK

Editable – Printable



Electronic Consent Form Template UK

1. Participant Information


2. Purpose of Consent

3. Information Provided

4. Voluntary Participation

By signing below, you acknowledge that your participation is voluntary and that you may withdraw at any time without penalty.

5. Confidentiality Agreement

6. Consent for Data Usage

7. Right to Ask Questions

8. Contact Information

9. Declaration of Understanding

10. Date and Signature



PDF


WORD

Examples


Electronic Consent Form Template UK (1)
Client Information:
[Name of the Client]
[Client’s ID]
[Client’s Address]
[Client’s Phone]
[Client’s Email]
Service Provider Information:
[Name of the Service Provider]
[Provider’s ID]
[Provider’s Address]
[Provider’s Phone]
[Provider’s Email]
Purpose:
This consent form is designed to obtain your agreement to process personal data and provide electronic services in compliance with applicable laws.
Clause 1: Consent to Data Processing
By signing this form, you consent to the collection and processing of your personal data for the purposes of providing [Name of Service] as outlined in our Privacy Policy.
Clause 2: Electronic Communication
You agree to receive communications, notifications, and updates through electronic means, including emails and online portals.
Clause 3: Right to Withdraw Consent
You have the right to withdraw your consent at any time by contacting us at [Provider’s Contact Information]. Withdrawal of consent will not affect the legality of processing prior to the withdrawal.
Clause 4: Data Security
We commit to implementing appropriate technical and organizational measures to protect your personal data and ensure its confidentiality.
Clause 5: Governing Law
This consent form shall be governed by the laws of [Jurisdiction, e.g., England and Wales].
Consent Confirmation:
I, [Name of the Client], hereby consent to the terms outlined in this Electronic Consent Form.
Date: [Date]
Signature: ______________________
Electronic Consent Form Template UK (2)
Client’s Details:
[Client Name]
[Client ID]
[Client Address]
[Client Phone]
[Client Email]
Provider’s Details:
[Provider Name]
[Provider ID]
[Provider Address]
[Provider Phone]
[Provider Email]
Overview:
This form collects your consent to allow us to process your data electronically and provide related services. It is in adherence to the GDPR regulations.
Clause 1: Data Processing Consent
By signing this form, you agree to our processing of your personal data for the provision of [Specific Service], detailed in our Terms and Conditions.
Clause 2: Communication Preferences
You consent to receive updates and important information via email or other electronic communication methods.
Clause 3: Right to Access and Erasure
You have the right to request access to your personal data as well as to request its erasure under certain conditions.
Clause 4: Security Measures
We will take all necessary steps to protect your data and ensure its confidentiality and integrity throughout its lifecycle.
Clause 5: Legal Jurisdiction
This form shall be governed under the relevant laws of [Jurisdiction, e.g., England and Wales].
Consent Acknowledgment:
I, [Client Name], confirm my consent to the terms specified herein and acknowledge understanding of my rights under the GDPR.
Date: [Date]
Signature: ______________________

Printable



Electronic Consent Form Template UK