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Consent And Indemnity Form

Consent And Indemnity Form Template for Nigeria

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Consent And Indemnity Form

"I need a Consent and Indemnity Form for a medical research study in Lagos, Nigeria, where we'll be collecting blood samples from adult participants over a 6-month period starting March 2025, with specific emphasis on data protection and medical risk disclosure."

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Document background
The Consent And Indemnity Form is a crucial legal document used across various sectors in Nigeria where organizations need to obtain explicit permission for activities while protecting themselves against potential liability. This document is particularly relevant in situations involving physical activities, medical procedures, data collection, or any scenario with inherent risks. It combines two essential elements: a consent section where individuals acknowledge their understanding and agree to participate in specific activities, and an indemnity section that protects the organization from potential claims. The form must comply with Nigerian legal requirements, including basic contract law principles and, where applicable, the Nigeria Data Protection Regulation (NDPR) 2019. It's commonly used by businesses, healthcare providers, educational institutions, and event organizers to manage legal risks while ensuring transparent communication with participants.
Suggested Sections

1. Parties: Identification of all parties involved - the person/entity giving consent and being indemnified, and the person/entity receiving consent and indemnification

2. Background: Brief context explaining the purpose of the consent and indemnity arrangement

3. Definitions: Clear definitions of key terms used throughout the document

4. Scope of Consent: Detailed description of the specific activities, uses, or rights being consented to

5. Acknowledgment of Risks: Clear statement of risks involved and confirmation that these have been understood

6. Indemnification Provisions: Specific terms of indemnification including scope, limitations, and duration

7. Representations and Warranties: Statements confirming the person giving consent has the capacity and authority to do so

8. Duration and Termination: Period for which the consent and indemnity remain valid and any termination conditions

9. Governing Law: Confirmation that Nigerian law governs the agreement

10. Execution: Signature blocks and execution requirements

Optional Sections

1. Medical Disclosure: Additional section for medical-related consent forms, including medical history and specific health-related risks

2. Data Protection Provisions: Required when personal data processing is involved, ensuring compliance with NDPR 2019

3. Parent/Guardian Consent: Required when the subject is a minor or lacks capacity to give consent

4. Insurance Details: When relevant insurance coverage needs to be specified

5. Emergency Contacts: For activities where emergency contact information might be needed

6. Dispute Resolution: Optional alternative dispute resolution mechanisms before court proceedings

7. Severability: Clause ensuring survival of remaining provisions if some are found invalid

Suggested Schedules

1. Schedule 1 - Activity Details: Detailed description of the specific activities or services covered by the consent

2. Schedule 2 - Risk Disclosure: Comprehensive list of potential risks and their implications

3. Schedule 3 - Medical Information Form: For medical-related consents, detailed medical information collection form

4. Appendix A - Emergency Procedures: Relevant emergency procedures and protocols where applicable

5. Appendix B - Insurance Coverage Details: Detailed information about relevant insurance coverage and limits

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok³ÉÈË°æ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co
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