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Data Consent Form — Quebec (Formulaire de consentement aux données / Loi 25)

DATA CONSENT FORM

Formulaire de consentement aux données — Quebec (Law 25 / LPRPSP)

Formulaire de consentement aux renseignements personnels

Pursuant to the Act respecting the protection of personal information in the private sector (LPRPSP / Law 25)

Organization: [Organization Name] | [Organization Address]

Privacy Officer (Responsable de la protection): [Privacy Officer] | Contact: [Privacy Contact]

1. PERSONAL INFORMATION COLLECTED

[Organization Name] collects the following categories of personal information: [Types of Personal Information]

Purposes of collection: [Collection Purposes]

In accordance with Law 25 (LPRPSP), we collect only the personal information necessary for the specific purposes identified above (principle of minimization). Collection is based on your manifest, free, and informed consent as described in this form.

2. DISCLOSURE AND TRANSFER

Your personal information may be disclosed to the following third parties: [Third Parties]

Cross-border transfer outside Quebec: [Cross-Border Transfer]. [Cross-Border Details]

Your information will be retained for: [Retention Period]. After this period, it will be securely destroyed or anonymized in compliance with Law 25.

3. YOUR RIGHTS UNDER LAW 25

As an individual whose personal information is collected by [Organization Name], you have the following rights under the Act respecting the protection of personal information in the private sector (LPRPSP / Law 25):

  • Right of access — to request a copy of your personal information held by us
  • Right of correction — to have inaccurate information corrected
  • Right of withdrawal — to withdraw your consent at any time (subject to legal obligations)
  • Right to request deletion — to request that your information be anonymized or destroyed when no longer necessary
  • Right to data portability — to receive your information in a structured, commonly used format
  • Right to lodge a complaint — with the Commission d'accès à l'information (CAI) at www.cai.gouv.qc.ca

To exercise these rights, contact our Privacy Officer: [Privacy Officer] at [Privacy Contact].

4. CONSENT

I, [Individual Name], hereby provide my manifest, free, and informed consent to the collection, use, and disclosure of my personal information by [Organization Name] for the specific purposes described in this form, on [Consent Date].

I understand that I may withdraw my consent at any time by contacting the Privacy Officer, and that such withdrawal will not affect the lawfulness of processing based on consent before withdrawal. I acknowledge that certain minimum information may still be retained to comply with legal obligations.

This consent is given pursuant to Law 25 (LPRPSP as amended by Bill 64). A separate consent is required for each distinct purpose.

Individual Giving Consent

________________

Signature

Privacy Officer (Responsable)

________________

Signature

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What Is a Data Consent Form — Quebec (Formulaire de consentement aux données / Loi 25)?

A Data Consent Form — Quebec (Formulaire de consentement aux données / Loi 25) in Quebec a Quebec Data Consent Form (Formulaire de consentement) is a document by which an individual provides explicit, informed, and manifest consent for an organization to collect, use, or disclose their personal information for specific purposes. Required by Law 25 (LPRPSP), it must clearly describe what information is collected, why, and how it will be used. Under Quebec's Act Respecting the Protection of Personal Information in the Private Sector (Law 25, CQLR c P-39.1), organizations must obtain free, informed, and specific consent before collecting personal information. The Commission d'acces a l'information (CAI) enforces compliance and may impose administrative monetary penalties up to $25,000,000 or 4% of worldwide turnover under Section 90.1 of Law 25. The Civil Code of Quebec (CCQ) Articles 35-37 establish the fundamental right to privacy. The Charter of Human Rights and Freedoms of Quebec (CQLR c C-12), Section 5, also protects personal information. Organizations subject to Law 25 must appoint a privacy officer and publish a privacy policy accessible to data subjects. The Superior Court of Quebec and the Court of Quebec adjudicate disputes arising from privacy violations. Article 37 of the Civil Code of Quebec (CCQ) grants individuals the right to access and correct personal information about themselves held by any person.

When Do You Need a Data Consent Form — Quebec (Formulaire de consentement aux données / Loi 25)?

A data consent form is needed when collecting personal information for marketing, research, cross-border transfers, or any secondary use beyond the primary purpose for which data was originally collected. Law 25 requires specific consent for each distinct purpose.

Parties in Quebec should prepare a Data Consent Form — Quebec (Formulaire de consentement aux données / Loi 25) proactively rather than waiting for a dispute to arise. Courts interpret agreements based on the written terms rather than oral representations. Where the transaction involves regulated activities, prior approval from the relevant authority may be required before execution. Organizations should obtain written consent before any data collection to comply with Law 25 and CCQ arts. 35-37. The Act Respecting Access to Documents Held by Public Bodies and the Protection of Personal Information (CQLR c A-2.1) imposes parallel requirements for public bodies. Revenu Quebec may also require documented consent for tax-related data sharing under the Tax Administration Act (CQLR c A-6.002). The CAI may audit organizations at any time, making prior written consent records essential.

What to Include in Your Data Consent Form — Quebec (Formulaire de consentement aux données / Loi 25)

Key elements: organization name, types of personal information collected, specific purpose(s), third parties to whom it will be disclosed, cross-border transfer disclosure, retention period, individual's rights (access, correction, withdrawal), contact for Privacy Officer, withdrawal procedure, and signature with date.

Additional compliance elements for a Data Consent Form — Quebec (Formulaire de consentement aux données / Loi 25) used in Quebec include: Required elements include: identity and contact of the organization collecting data; specific purpose of collection; categories of personal data collected; third parties with whom data may be shared; data retention period; rights of the data subject (access, rectification, withdrawal of consent) under Law 25 s. 37; mechanism for withdrawing consent; date and signature of the consenting party. Under Article 8 of Law 25, consent must be manifest, free, informed, and given for specific purposes. The CAI may require production of consent records during an investigation. Forms-legal.com provides this Quebec-compliant data consent form template as a starting point. Article 37 of the Civil Code of Quebec (CCQ) also grants data subjects the right to access and correct their personal information. Consent records must be retained for at least 3 years under Law 25 practice guidelines. The Superior Court of Quebec adjudicates civil claims for breach of privacy. Consult a Quebec privacy lawyer for complex data sharing arrangements. The CAI may require organizations to produce consent records during an investigation under Law 25. Under Section 90.1 of Law 25, administrative penalties reach $25,000,000 for the most serious violations. The Superior Court of Quebec adjudicates civil privacy claims under CCQ art. 1457. All consent forms should specify the retention period and the procedure for revoking consent. Under CCQ art. 35, every person has a right to the respect of their reputation and privacy.

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Reference this free template in an article, syllabus, or research note:

APA

Forms Legal. (2026). Data Consent Form — Quebec (Formulaire de consentement aux données / Loi 25) (Quebec) [Legal document template]. Forms Legal. https://forms-legal.com/quebec/business/policies/data-consent-form-quebec

MLA

"Data Consent Form — Quebec (Formulaire de consentement aux données / Loi 25) (Quebec)." Forms Legal, 2026, https://forms-legal.com/quebec/business/policies/data-consent-form-quebec.

BibTeX
@misc{formslegal-data-consent-form-quebec,
  author       = {{Forms Legal}},
  title        = {Data Consent Form — Quebec (Formulaire de consentement aux données / Loi 25) (Quebec)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/quebec/business/policies/data-consent-form-quebec}},
  note         = {Free legal document template. Based on Civil Code of Québec (CCQ), Book Five: Obligations}
}

Frequently Asked Questions

Based on Civil Code of Québec (CCQ), Book Five: Obligations — Template last modified June 2026

This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer

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