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EAP Policy Manual FFY24 Chapter 11 Data Practices and Records Page 13 Generally, completed and signed Informed Consent forms should be submitted to the local Service Provider. Please contact your Commerce Program Performance Auditor if you receive a large number of Informed Consent forms with information released to the same third party. Content of Informed Consent Request Form An Informed Consent form must include all of the following characteristics to meet the requirements of Minn. Stat. § 13.05, subd. 4a: • Be written in plain language. • Be dated. • Designate the particular agencies or person who will get the information. • Specify the information to be released. • Indicate the specific agencies or person who will release the information. • Specify how the information will be used immediately and in the future. • Contain a reasonable expiration date of no more than one year. Commerce requests this additional information to identify the requestor: • The printed or typed name, social security number (if provided on the Energy Programs application) and birth date of the data subject so the information provided is the requestor’s private data. • Notarized signature of the data subject or picture identification presented at the time of request to verify the data requestor’s identity. • Entities should assume both parents have access rights to data about a minor child and authority to sign consents for the minor, even if the parents are divorced or separated, unless the Service Provider is provided with court documents specifying otherwise. If parental rights are terminated, access and consent rights are also terminated. Commerce will accept requests only on the Informed Consent to Release Private Data form. Service Providers may develop variations on the prescribed form and may, at their discretion, accept requests in other forms as long as the request meets the requirements of Minn. Stat. § 13.05, subd. 4a. Debtor’s Exemption Claim Notice Example is a type of Informed Consent form. Minn. Stat. § 13.05, subd. 4a prescribing the content of the form and is consistent with the required content of the Informed Consent to Release Private Data form, as long as it is on the letterhead or otherwise names the third party recipient of the information. When a Signed Consent Form Is Not Required • To disseminate information for purposes previously communicated to the individual on the Privacy Notice or the Application Consent.