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

Key facts

QuebecQuebecEnglish (QC)FreePDF & WordUpdated Jun 6, 2026
Legal basisCivil Code of Québec (CCQ), Book Five: ObligationsNotarization: Not requiredWitnesses: 0Parties: 2
DATA CONSENT FORM

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

FORMULAIRE DE CONSENTEMENT AUX RENSEIGNEMENTS PERSONNELS

Formulaire de consentement aux renseignements personnels

En vertu de la Loi sur la protection des renseignements personnels dans le secteur privé (LPRPSP / Loi 25)

Responsable de la protection des renseignements personnels : [Privacy Officer] | Contact : [Privacy Contact]

1. RENSEIGNEMENTS PERSONNELS RECUEILLIS

[Organization Name] recueille les catégories suivantes de renseignements personnels : [Types of Personal Information]

Finalités de la collecte : [Collection Purposes]

Conformément à la Loi 25 (LPRPSP), nous ne recueillons que les renseignements personnels nécessaires aux fins précises énoncées ci-dessus (principe de minimisation). La collecte repose sur votre consentement manifeste, libre et éclairé, tel que décrit dans le présent formulaire.

2. COMMUNICATION ET TRANSFERT

Vos renseignements personnels peuvent être communiqués aux tiers suivants : [Third Parties]

Vos renseignements seront conservés pendant : [Retention Period]. Au terme de cette période, ils seront détruits de façon sécuritaire ou anonymisés conformément à la Loi 25.

3. VOS DROITS EN VERTU DE LA LOI 25

À titre de personne dont les renseignements personnels sont recueillis par [Organization Name], vous disposez des droits suivants en vertu de la Loi sur la protection des renseignements personnels dans le secteur privé (LPRPSP / Loi 25) :

  • Droit d'accès — demander une copie des renseignements personnels que nous détenons à votre sujet
  • Droit de rectification — faire corriger des renseignements inexacts
  • Droit de retrait — retirer votre consentement en tout temps (sous réserve des obligations légales)
  • Droit de demander la suppression — demander que vos renseignements soient anonymisés ou détruits lorsqu'ils ne sont plus nécessaires
  • Droit à la portabilité des renseignements — recevoir vos renseignements dans un format structuré et couramment utilisé
  • Droit de porter plainte — auprès de la Commission d'accès à l'information (CAI) à www.cai.gouv.qc.ca

Pour exercer ces droits, communiquez avec notre responsable de la protection des renseignements personnels : [Privacy Officer], à [Privacy Contact].

4. CONSENTEMENT

Je, [Individual Name], donne par les présentes mon consentement manifeste, libre et éclairé à la collecte, à l'utilisation et à la communication de mes renseignements personnels par [Organization Name] aux fins précises décrites dans le présent formulaire, le [Consent Date].

Je comprends que je peux retirer mon consentement en tout temps en communiquant avec le responsable de la protection des renseignements personnels, et que ce retrait n'aura pas d'incidence sur la licéité du traitement effectué sur la base du consentement avant son retrait. Je reconnais que certains renseignements minimaux pourront néanmoins être conservés afin de respecter des obligations légales.

Le présent consentement est donné en vertu de la Loi 25 (LPRPSP telle que modifiée par le projet de loi 64). Un consentement distinct est requis pour chaque finalité distincte.

Personne donnant son consentement

________________

Signature

Responsable de la protection des renseignements personnels

________________

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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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
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Forms Legal. "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}
}
Wikipedia
{{cite web |title=Data Consent Form — Quebec (Formulaire de consentement aux données / Loi 25) (Quebec) |website=Forms Legal |publisher=Forms Legal |date=2026 |url=https://forms-legal.com/quebec/business/policies/data-consent-form-quebec}}
RIS
TY  - ELEC
T1  - Data Consent Form — Quebec (Formulaire de consentement aux données / Loi 25) (Quebec)
T2  - Forms Legal
PB  - Forms Legal
PY  - 2026
UR  - https://forms-legal.com/quebec/business/policies/data-consent-form-quebec
ER  - 
Forms LegalUpdated 2026-06-06.bib.ris

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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