Statement Of Information For A Consent
Use a Fillable Online Statement Of Information For A Consent 2020 template to make your document workflow more streamlined.
What this consent statement does
A Statement Of Information For A Consent records who agreed to what, for which purpose, and through which signing event. The sender prepares the statement, identifies each signer, and presents the consent language before signature. signNow can upload the document, detect fillable fields, route it to the assigned signers, and preserve the completed PDF with an audit trail. For U.S. transactions, ESIGN and applicable state electronic-transactions law generally recognize electronic records when intent, consent, attribution, and reliable retention requirements are satisfied.
Documents that can include consent
Contracts and NDAs
Contracts and NDAs can use the statement to document a party’s approval of specified terms, provided the consent language identifies the transaction and signer responsibilities clearly.
Operational forms
HR forms, invoices, and consent forms can be routed to employees, customers, patients, or participants when the document explains the authorized action and applicable electronic-record disclosures.
Business types that use consent statements
The strongest fit is any organization that must prove a named person authorized a defined action, disclosure, or electronic transaction.
Solo healthcare practices use the statement to document patient permissions alongside electronic forms, while applying HIPAA safeguards and retaining records under 45 CFR §164.530(j). Legal and financial service firms use it to capture client authorization for a defined disclosure, transaction, or approval with role-based routing and an exportable audit trail. Enterprise operations teams use shared templates, delegated sending, and administrator controls to apply the same consent language across departments without losing signer-level evidence.
These tasks are executed by both individual contributors and centralized administrators depending on organizational policy and required controls.
How to complete this consent statement
Use signNow to prepare the exact consent language, route it to identified signers, and preserve the resulting evidence package.
Upload document:
Upload the completed consent statement to signNow. Check fields:
Review auto-detected fields and add missing fields. Assign signers:
Assign each consent and signature field. Send form:
Send the statement by email or signing link. Store evidence:
Review the signed PDF and audit trail.
Recommended consent workflow settings
Configure each consent record for identifiable signing, reliable evidence, controlled access, and retention aligned with the underlying business record.
| Setting | Recommendation |
|---|---|
| Authentication method | Email verification with SMS OTP for higher-risk signers |
| Signature type | Typed or drawn electronic signature with clear signing intent |
| Audit trail | Capture signer identity, timestamps, IP address, and actions |
| Document retention | Retain the completed consent record under your policy |
| Encryption and user provisioning | Use AES-256 storage with role-based administrator access |
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What the consent audit trail records
The audit trail connects the signer, consent event, document version, and resulting evidence package for later review.
Authenticate signer:
Capture timestamp:
Hash document:
Seal evidence:
Record activity:
Export audit trail:
Processing stages for consent forms
A clear sequence keeps consent language, signer actions, and the final evidence record connected from preparation through archival.
Prepare the document
Send to signers
Collect signatures
Complete and archive
Find and fill out the correct fillable online statement of information for a consent
airSlate SignNow helps you fill in and sign documents in minutes, error-free. Choose the correct version of the editable PDF form from the list and get started filling it out.
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| CA EA-116 2020 | 4.8 Satisfied (2268 Votes) | |
| CA EA-116 2012 | 4.8 Satisfied (214 Votes) |
Best practices for this consent form
Accurate consent records depend on clear authorization, traceable signer actions, and careful control of the final signed document.
Define the authorized purpose before sending
Assign every signer to the correct role
Preserve evidence with the signed record
Inspect the final consent package
Challenges when preparing consent records
Consent language does not identify the exact information, action, recipient, or purpose, leaving the signer’s authorization open to dispute. The signer’s identity cannot be connected reliably to the completed record because contact details, authentication, or role assignments are incomplete. A sender changes the consent statement after signing fields are placed, creating uncertainty about which version the signer actually approved. The completed form is stored without its audit trail, making it harder to demonstrate intent, timing, access, and document integrity.
Legal standing of signed consent
A signed consent record can support admissibility when it shows intent, electronic consent, signer attribution, and accurate reproduction under ESIGN, 15 U.S.C. ch. 96, and applicable state law such as UETA. Electronic consent does not override exclusions for wills, certain court orders, family law decrees, or other records listed in ESIGN.
Security for consent records
Encrypted storage:
Encrypted transmission:
Security certification:
Information security:
Electronic signature compliance:
Protected health information:
Questions about consent statements
These answers address field setup, electronic-consent evidence, signNow plans, and record handling for this consent statement.
Upload the original Statement Of Information For A Consent, then use signNow’s field detection and review every detected name, date, consent, and signature field before sending.
The Business plan includes legally binding eSignatures, templates, audit trails, mobile apps, ISO 27001, SOC 2, and GDPR. Confirm the plan and any required controls before production use.
For consumer-facing consent, provide the ESIGN disclosure explaining paper records, electronic access, and withdrawal procedures under 15 U.S.C. §7001(c). The form itself should identify the consent purpose clearly.
Use signNow’s signer routing, authentication options, and audit trail to connect each person to the exact consent version. Keep the completed PDF and evidence together under your records policy.
Electronic signatures generally receive legal recognition under ESIGN and UETA when intent, consent, attribution, and reproducible retention are established. State law and document-specific exclusions still require review.
Export the completed consent record and audit trail after all required signatures finish. Limit administrator access, protect the files, and retain them for the applicable business or regulated record period.
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