GPS Consent Form Templates

Starting-Point Templates for Employee GPS Tracking Consent
Version 1.0 | December 3, 2025
IMPORTANT LEGAL DISCLAIMER: These templates are starting points only. They MUST be reviewed and customized by an employment attorney licensed in your jurisdiction before use. Laws vary significantly, and these templates may not meet all requirements in your location. Sergio/Axenvoy Inc. assumes no liability for your use of these templates.
CANADA
[Company Name]
GPS Location Tracking Consent Form

Employee Name:

Position:

Date:

Purpose of This Form

[Company Name] uses the Sergio field service management platform, which includes GPS location tracking features. This form explains what location data is collected, how it is used, and requests your consent.

What We Collect

When We Collect

How We Use This Data

Who Can See Your Location

Data Retention

Your Rights

Consequences of Withdrawing Consent

Acknowledgment and Consent

I have read and understand this GPS Location Tracking Consent Form
I understand what location data is collected and how it will be used
I consent to GPS location tracking as described above
I understand I may withdraw consent at any time by notifying [Manager/HR]
Employee Signature
Date
Witness/Manager Signature
Date
UNITED STATES
[Company Name]
Notice of Electronic Monitoring
GPS Location Tracking

Effective Date:

Notice to All Field Technicians

Pursuant to applicable law, [Company Name] hereby provides notice that it may monitor, intercept, and/or access employee GPS location data through the Sergio field service management platform.

Types of Monitoring

This notice covers GPS location tracking through the Sergio mobile application installed on company-provided or personal devices used for work purposes.

Circumstances of Monitoring

GPS location data is collected when you:

Purposes of Monitoring

This notice is provided in compliance with [state law citation, e.g., "New York Civil Rights Law Section 52-c" or "Connecticut General Statutes Section 31-48d"].

Acknowledgment of Receipt

I acknowledge that I have received this Notice of Electronic Monitoring and understand that my GPS location may be monitored during active use of the Sergio mobile application.

Employee Signature
Print Name
Date
QUEBEC
[Company Name]
Consentement au Suivi GPS / GPS Tracking Consent
(Quebec Law 25 Compliant)

Renseignements personnels concernés:

Données de géolocalisation GPS

Finalités spécifiques:

  1. Navigation vers les sites de travail
  2. Optimisation des itinéraires
  3. Notifications d'arrivée aux clients
  4. Vérification de l'achèvement des travaux

Destinataires:

  • Répartiteurs et gestionnaires autorisés
  • Sergio (fournisseur de logiciel)

Durée de conservation:

  • Cache de l'appareil: 24 heures
  • Journaux serveur (métadonnées): 30 jours

Vos droits:

  • Droit d'accès à vos données
  • Droit de rectification
  • Droit de retrait du consentement
  • Droit de porter plainte à la CAI

Personal Information Concerned:

GPS geolocation data

Specific Purposes:

  1. Navigation to work sites
  2. Route optimization
  3. Customer arrival notifications
  4. Job completion verification

Recipients:

  • Authorized dispatchers and managers
  • Sergio (software provider)

Retention Period:

  • Device cache: 24 hours
  • Server logs (metadata only): 30 days

Your Rights:

  • Right to access your data
  • Right to correction
  • Right to withdraw consent
  • Right to complain to the CAI

Consentement / Consent

Je confirme avoir reçu les informations ci-dessus de manière claire et compréhensible. Je consens librement, de manière éclairée et spécifique à la collecte et à l'utilisation de mes données de géolocalisation GPS aux fins décrites.

I confirm I have received the above information in a clear and understandable manner. I freely, informedly, and specifically consent to the collection and use of my GPS location data for the purposes described.

Je consens / I consent
Je ne consens pas / I do not consent
Signature de l'employé / Employee Signature
Date
Témoin / Witness
Date
ONTARIO
[Company Name]
Electronic Monitoring Policy
(Ontario Working for Workers Act, 2022 Compliance)

Policy Prepared:

Last Amended:

1. Electronic Monitoring Statement

[Company Name] electronically monitors employees through the use of GPS location tracking within the Sergio field service management platform.

2. Description of Monitoring

How monitoring occurs:

Circumstances of monitoring:

3. Purposes of Monitoring

Information from electronic monitoring may be used for:

4. Employee Acknowledgment

I acknowledge that I have received and reviewed this Electronic Monitoring Policy.

Employee Signature
Print Name
Date
BONUS
Sample Employee Handbook Language
For inclusion in your Employee Handbook

GPS Location Tracking

[Company Name] uses the Sergio field service management platform for scheduling, routing, and job management. This platform includes GPS location tracking features.

What We Track:

When We Track:

Why We Track:

Who Can See Your Location:

Data Retention:

Your Options:

Questions about GPS tracking should be directed to [HR Contact/Manager].