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Information Collection Consent Form

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Information Collection Consent Form

Revised 14/8/17

WHAT YOUR PERSONAL INFORMATION IS

Personal information is any information or an opinion (whether true or not) about you. It may range from the very sensitive (e.g. medical history or condition) to the everyday (e.g. address and phone number). It would include the opinions of others about your work performance (whether true or not), your work experience and qualifications, aptitude test results and other information obtained by us in connection with your possible work placements. Personal information includes sensitive information.

WHAT SENSITIVE INFORMATION IS

Sensitive information is a special category of personal information. It includes information or opinion about your:

• membership of a professional or trade association or membership of a trade union;

• criminal record;

• health or disability (at any time);

• It includes personal information collected to provide a health service.

There are other types of sensitive information; but they are generally less relevant to work and pre-work situations. Sensitive information can, in most cases, only be collected with your consent. We will only collect information that is necessary for the proper performance of our tasks or functions. We do not collect or use personal or sensitive information for the purposes of unlawful discrimination.

WE WILL NEED TO COLLECT PERSONAL INFORMATION ABOUT YOU

Personal information may range from the sensitive (e.g. relevant medical history or criminal history) to the everyday (e.g. address and phone number). We may collect the opinions of others about your work performance your work experience and qualifications, aptitude test results and other information in connection with your possible work placements.

We will only collect information that is necessary for the proper performance of our tasks or functions. We do not collect or use personal or sensitive information for the purposes of unlawful discrimination. We do not collect personal information just because we think it could be useful at some future stage if we have no present need for it. We do not routinely conduct criminal history checks and only do so in order to obtain relevant criminal history with regard to particular jobs you are offered or for which you are shortlisted. If you only browse our website, we do not collect information that identifies you personally, though we may collect information related to your visit to our website.

WHO WILL BE COLLECTING YOUR PERSONAL AND SENSITIVE INFORMATION

Your personal information will be collected by DFP Recruitment Services for its own use and on behalf of other members who might require access to your personal and sensitive information in connection with your work placements.

Your personal information will be held by DFP Recruitment Services. Some of your personal information may be held on portable devices such as mobile phones, laptop computers or in diaries operated and held by our staff members. Some of your personal information will also be held on such devices by clients of DFP for recruitment or placement purposes.

HOW YOUR PERSONAL INFORMATION WILL BE COLLECTED

Personal information will be collected from you directly when you complete and submit one of our registration forms or provide other information in connection with your application to us.

Some sensitive information may be recorded as a result of you providing legal documents, e.g.: your passport or proof of entitlement to work in Australia.

Personal Information will also be collected when:

• we receive any reference about you

• we receive results of inquiries that we might make of your former employer, work colleagues, professional associations or registration body

• we receive the results of any competency or medical test

• we receive performance feedback about you (whether positive or negative)

• we receive any complaint from or about you in the workplace

• we receive any information about a workplace accident in which you are involved

• we receive any information about any insurance investigation, litigation, registration or professional disciplinary matter, criminal matter, inquest, or inquiry in which you are involved, and

• you provide us with any additional information about yourself.

LEGAL REQUIREMENTS FOR PERSONAL INFORMATION

Some laws such as taxation law, immigration law, laws regulating employment agencies, laws relating to national security, laws relating to professional or trade registration and laws for the protection of certain classes of people (such as children or the elderly) may require that we collect certain types of information (including criminal history) from you that is relevant to the position/s for which you may be applying. There may be cases where our duties of care or contractual duties require us to obtain and disclose certain types of personal information relevant to specific jobs.

When requesting information of this type we will tell you whether the supply of that information by you is mandatory or voluntary.

IF YOU DO NOT GIVE US ALL OR PART OF THE INFORMATION WE NEED

• we may be limited in our ability to locate suitable work for you;

• we may be limited in our ability to place you in work;

• we might decline to represent you in your search for work or put you forward for particular positions.

YOUR PERSONAL INFORMATION WILL BE USED IN CONNECTION WITH

• our assessment of your suitability for registration with us;

• the necessary validation (including from appropriate third party sources) of your resume, v.v., nominated references, or stated qualifications, experience, training or abilities. Where we require third party validation we will tell you how we propose to obtain it;

• your actual or possible work placement

• your performance appraisals our assessment of your ongoing performance and prospects

• any test or assessment (including medical) that you might be required to undergo

• our identification of your training needs

• any workplace rehabilitation in which you and we are involved;

• our management of any complaint, investigation or inquiry in which you are involved, and

• any insurance claim or proposal that requires disclosure of your personal or sensitive information

• suggestions we may make to you, whilst you remain registered with us, for further training in connection with work of the type that you are seeking through us;

• any reference that we may give concerning your work;

• our statutory compliance obligations;

YOUR PERSONAL INFORMATION MAY BE DISCLOSED TO

• potential and actual employers and clients of DFP Recruitment Services

• referees

• a person who seeks a reference about you;

• other members of the DFP Group

• our insurers

• a training body, or professional association or registration body that has a proper interest in the disclosure of you personal information

• a Workers’ Compensation body

• our contractors and suppliers, for example IT contractors and psychometric test managers

• a parent, guardian, holder of an enduring power of attorney (or like authority) or next of kin whom we may contact in any case in which consent is required or notification is to be given and where it is not practicable to obtain it from or give it directly to you;

• any person with lawful entitlement to obtain the information, and

• any person to whom you direct us to supply employment details.

YOU CAN ACCESS YOUR PERSONAL INFORMATION FOR CORRECTION IF IT IS WRONG

Subject to some exceptions which are set out in privacy legislation you have a right to see and have a copy of personal information about you that we hold.

If you are able to establish that personal information that we hold about you is misleading, irrelevant, not accurate, complete or up-to-date, we will take reasonable steps to correct it.

If we are unable to agree that personal information that we hold about you is not misleading, relevant accurate, complete and up-to-date, you may ask us to place with the information a statement by you that claims that particular information is misleading, irrelevant, not accurate, incomplete or out-of-date.

If you wish to exercise your rights of access and correction you should contact our privacy coordinator via email at privacy@dfp.com.au. In some cases we may impose a moderate charge for providing access to personal or sensitive information. We will not charge you simply because you lodge a request for access.

ELECTRONIC TRANSACTIONS

We conduct transactions electronically as well as in hard copy and by face to face measures. It is important that you understand that there are risks associated with the use of electronic technologies and the use of the internet and you should take all appropriate steps to protect your personal information. Please see our Privacy Policy located at www.dfp.com.au for further information.

CONSENT TO COLLECTION, USE AND STORAGE OF PERSONAL INFORMATION BY DFP RECRUITMENT SERVICES PTY LTD

I (full name) of have read and understood each of the statements in the Collection Statement and Consent to Electronic Transactions and have had sufficient opportunity to read and understand your Privacy Policy. I voluntarily consent to:

• personal and sensitive information about me being collected by you as indicated above;

• personal and sensitive information about me being used as indicated above;

• personal and sensitive information about me being disclosed as indicated above;

• engaging in electronic transactions with regard to any matter connected with the purposes for which my personal information may be used or disclosed as indicated above.

Are you currently registered with a government Job Active provider?

If you are invited into DFP Recruitment Services for an interview you will need to supply proof of eligibility to work in Australia eg. birth certificate or passport or passport & working visa (if applicable). Please note if you have changed your name you will need to bring documentation to support this eg. marriage certificate along with supporting photo identification if you are supplying a birth certificate.

Date

Signed

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What an Information Collection Consent Form Is

An Information Collection Consent Form documents a person's informed agreement to allow an organization to collect, use, and share specific personal data for stated purposes. It clarifies what categories of information will be collected, why the data is needed, who will receive it, how long it will be kept, and the signer's rights to withdraw consent. For many consumer-facing uses, the form also explains the electronic-option disclosure and the method by which consent can be revoked and records reproduced.

Why a Clear Consent Form Matters

A clear consent form reduces legal risk, documents user permission, and supports compliance with ESIGN (15 U.S.C. ch. 96) and state electronic signature laws such as UETA. It also improves transparency for data subjects and sets operational expectations for data handling.

Why a Clear Consent Form Matters

Who Typically Completes This Consent Form

Organizations and individuals who collect personal or sensitive data use this consent form to record permission and conditions before data collection.

  • Healthcare providers and clinics collecting patient intake and authorization information.
  • Employers or HR teams gathering candidate or employee personal data for onboarding.
  • Educational institutions requesting parent or student consent for records or surveys.

Step-by-Step: Filling Out the Consent Form

Complete the form in the order shown below to ensure accuracy, proof of intent, and consistent recordkeeping.

  • 01
    Review: Read purpose, scope, third parties, and retention terms carefully.
  • 02
    Provide Details: Enter legal name, contact info, and required identifiers.
  • 03
    Sign: Sign and date the signature block; include initials where requested.
  • 04
    Store: Save a copy and confirm receipt with the collecting organization.

Essential Elements to Include in a Professional Consent Form

A robust consent form is concise but comprehensive. Include clear sections that define scope, duration, and signatory protections to support enforceability and good data governance.

Identity

Name and contact of the collecting organization plus the signer's full legal name and contact information to establish parties.

Purpose

A plain-language statement of why the data is being collected and how it will be used, including any conditional uses or secondary uses.

Data Categories

A specific list of personal data types being collected (e.g., identifiers, financial, health) so consent is informed.

Recipients

Who will receive or process the data, including vendors, affiliates, or public agencies where applicable.

Retention & Deletion

How long the data will be stored, criteria for deletion, and any legal basis for extended retention.

Withdrawal & Rights

Instructions for revoking consent, contact information, and any consequences of withdrawal for service provision.

Security and Compliance Features to Record

Encryption: TLS 1.2/1.3, AES-256
Access Controls: Role-based access
Audit Trail: Timestamped activity logs
BAA Available: HIPAA BAA required
Certifications: SOC 2 Type II, ISO 27001
Retention Policy: Policy-based retention

Common Mistakes to Avoid When Preparing the Form

  • Using vague language for data categories or purposes, which can make consent unenforceable and increase regulatory risk.
  • Omitting a clear withdrawal process or contact point, leaving subjects unable to exercise their rights under privacy laws.
  • Collecting unnecessary sensitive information without explicit justification, which can trigger additional legal protections.
  • Failing to record the signer's identity attribution (IP, timestamp, method), undermining proof of intent for e-signed records.

Penalties and Legal Risks of an Incorrect Consent Form

Regulatory Fines: Civil penalties
HIPAA Liability: Monetary fines and corrective action
Tax Withholding: Backup withholding triggers
Contract Invalidity: Consent unenforceable
Breach Damages: Statutory and common-law claims
Reputational Harm: Loss of trust

Where to Send or File Completed Consent Forms

After completion, route the form according to organizational records policy and any applicable legal filing obligations.

  • Internal Record: Store in the subject's personnel or medical file
  • Third-Party Processors: Send to named vendors with access controls
  • Regulatory Filing: Submit only if required by statute
  • Subject Copy: Provide the signer a retained copy

Digital Signing and Technical Requirements

Electronic completion should meet legal standards for intent, consent, attribution, and retention under ESIGN and UETA.

  • File Formats: PDF, DOCX, HTML
  • Integrations: Salesforce, NetSuite, Google Workspace
  • Auth Options: Email, SMS, KBA

How to Configure an Online Consent Workflow

Configure fields and authentication to match the form's sensitivity and the signer's expected capabilities.

Field | Configuration Field name | Required/optional
Signature Authentication Email link with optional SMS code
Conditional Fields Show fields based on prior answers
Templates Save form for reuse and version control
Reminders Automated email reminders

Timing and Processing Expectations

Set clear internal deadlines for collecting, verifying, and storing consent to meet legal and operational requirements.

Consent Before Collection:

Obtain consent before any nonconsensual data processing begins

Access Requests:

Respond to subject access requests within 30 days where required

Revocation Processing:

Acknowledge revocation within 10 business days

Retention Start Date:

Retention measured from creation or last effective date

Record Availability:

Maintain reproductions for regulatory inspections

Key Processing Milestones

Track these milestones from form creation through long-term storage to ensure compliance and auditability.

01

Draft and Review

Legal and privacy review completed before deployment

02

Collect Consent

Signer completes and submits the form

03

Verify Identity

Apply required authentication or notarization

04

Archive and Monitor

Store with access controls and periodic audits

Selected eSignature Pricing and Feature Comparison

Comparison of starting prices and common capabilities among popular eSignature providers; signNow appears first in the table below.

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Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial No No Yes, limited Yes, limited
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Frequently Asked Questions and Troubleshooting

Answers to common questions about validity, revocation, identity verification, and storage of Information Collection Consent Forms.


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