Employment & HR

Biometric Data Consent (BIPA)

Illinois BIPA-compliant written consent for collection, use, storage, and disclosure of employee biometric identifiers and information, including retention schedule and destruction policy.

๐Ÿ“„ 1 signer๐Ÿ“… 30-day expiry๐Ÿท Employment & HR๐Ÿ”– biometric, bipa, privacy

About this template

The Biometric Data Consent (BIPA) is a ready-to-use employment & hr template you can send for signature in minutes. It is written for 1 signer (employee) and, by default, expires 30 days after it is sent if left unsigned. It covers biometric, bipa, privacy. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.

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# Biometric Data Consent (BIPA) **Company Name:** ___________ **Company Address:** ___________ **Data Controller Contact / Privacy Officer:** ___________ **Privacy Officer Email:** ___________ **Date of This Notice:** ___________ --- ## Section 1 โ€” Employee Information **Employee Name:** ___________ **Employee ID:** ___________ **Department:** ___________ **Work Location:** ___________ --- ## Section 2 โ€” Biometric Identifier(s) Being Collected Under the Illinois Biometric Information Privacy Act (740 ILCS 14/1 et seq.) and applicable state law, a "biometric identifier" means a retina or iris scan, fingerprint, voiceprint, scan of hand or face geometry, or other unique biological characteristic. A "biometric information" means any information, regardless of how it is captured, converted, stored, or shared, based on an individual's biometric identifier. The following biometric identifier(s) or biometric information will be collected from the employee: ___________ **Specific biometric system or device:** ___________ *(Example: "Kronos InTouch 9100 timekeeping terminal," "Aware WebEnroll fingerprint capture," "AnyVision facial recognition camera system.")* ---

Fields (24)

company name
text ยท required
company address
textarea ยท required
privacy officer
text ยท required
privacy officer email
email ยท required
notice date
date ยท required
employee name
text ยท required
employee id
text ยท required
department
text ยท required
work location
text ยท required
biometric type
select ยท required
biometric device
text ยท required
collection purpose
select ยท required
purpose detail
textarea ยท required
destruction date
date ยท required
destruction method
select ยท required
storage location
select ยท required
vendor name
text
security measures
textarea ยท required
permitted disclosures
select ยท required
third party vendors
textarea
read notice
checkbox ยท required
read retention
checkbox ยท required
read disclosures
checkbox ยท required
employee signer name
text ยท required

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Every signed document gets PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package sealed in WORM storage.

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