The „Information Sharing“ form is available below in a one-sided format and a large print format. This form allows the survivor to indicate the personal identifying information that your program needs to share, how you want to share it, with whom and for how long. (Be sure to insert the name of your program or agency into the document wherever [program/agency name] is highlighted in grey.) 6. Privacy, Data Protection and VAWA 2005 for Community Domestic Violence/Sexual Assault Advocacy ProgramsThe model policy contains sections dealing with general principles; A written agreement to preserve confidentiality; definitions, including information about confidentiality and personal identification; a ban on passing information to people outside the Agency (for example. B accommodation address, staff and survivor information); Disclosure protocols exceptions to confidentiality, including mandatory reporting.