Authorization Letter Sample: Format, Examples, and Tips

Aug 20, 2024by Eduyush Team

Authorization letter samples

Authorization letter samples are essential when granting someone else the authority to act on your behalf. An authorization letter ensures that the right person can perform actions in your absence, whether for legal matters, accessing confidential documents, or delegating specific tasks.

This blog will explore various authorization letter formats, provide sample authorization letters, and offer tips on drafting an effective authorization document.

What is an Authorization Letter?

An authorization letter is a formal document that grants permission to another person to act on your behalf in specific matters. This letter is commonly used for legal, medical, financial, or personal situations where direct action by the principal (the person giving the authorization) is not possible. Understanding the correct authorization letter format and the legal implications is crucial for ensuring that the letter serves its intended purpose effectively.

Critical Components of an Authorization Letter

When drafting an authorization letter, it's essential to include the following elements:

  1. Your Full Name and Contact Information: Clearly state your name, address, and contact details at the beginning of the letter.
  2. Recipient’s Full Name: Identify the person or organization receiving the authorization, ensuring no ambiguity exists.
  3. Details of the Authorization: Specify the nature of the authority being granted. Be transparent about the actions the authorized person can take.
  4. Duration of Authorization: Mention the time frame during which the authorization is valid. This could be a specific date range or until a particular task is completed.
  5. Signature: End the letter with your signature to validate the authorization. If required, include the Date of signing.

Types of Authorization Letters

Authorization letters can be used in a variety of scenarios. Here are some common types:

  1. Power of Attorney: A legal authorization document that gives someone the authority to make decisions on your behalf, particularly in financial or legal matters.
  2. Letter of Consent: They are used to permit something specific, such as a child's school trip or medical treatment.
  3. Proxy Authorization: Allows someone to vote or make decisions in a meeting you cannot attend.
  4. Delegation of Authority: It allows someone to perform specific organizational tasks, such as signing documents or making decisions.

Sample Authorization Letter Formats

Here are some authorization letter samples to guide you in drafting your letter:

Authorization Letter Sample to Claim Money in the Philippines

[Your Name]
[Your Address]
[City, Province, Zip Code]
[Email Address]
[Phone Number]
[Date]
To Whom It May Concern,

I, [Your Full Name], of legal age, residing at [Your Address], at this moment authorize [Authorized Person’s Full Name], also of legal age and residing at [Authorized Person’s Address], to act on my behalf and claim the amount of [specific amount of money] from [Name of the Institution/Person from whom the money is to be claimed], located at [Location of the Institution/Person].

This authorization is granted to claim [specific amount of money] on [specific date or "any time within [time frame]"]. [Authorized Person’s Full Name] is also authorized to sign any documents necessary to complete this transaction on my behalf.

Please allow [Authorized Person’s Full Name] to perform all actions required to claim the money in my name and provide them with any assistance necessary to complete this task.

Thank you for your attention and cooperation.

Sincerely, [Your Valid ID Number]

Attachments:

  • Photocopy of [Your Valid ID]
  • Photocopy of [Authorized Person’s Valid ID]

Authorization Letter Sample for PSA Birth Certificate

[Your Name]
[Your Address]
[City, Province, Zip Code]
[Email Address]
[Phone Number]
[Date]
The Civil Registrar General
Philippine Statistics Authority (PSA)
[PSA Office Address]
[City, Province, Zip Code]

SUBJECT: Authorization Letter to Request Birth Certificate

To Whom It May Concern:

I, [Your Complete Legal Name], of legal age, Filipino citizen, and currently residing at [Your Complete Current Address], do hereby authorize [Authorized Person's Complete Name], with contact number [Authorized Person's Contact Number], to request and claim my birth certificate from your office.

My authorized representative has my full consent to submit any required documents, pay the necessary fees, and receive my birth certificate on my behalf.

Below are my details for proper identification:

  • Full Name: [Your Complete Name as in Birth Certificate]
  • Date of Birth: [Your Birth Date (Month, Day, Year)]
  • Place of Birth: [Your Birth Place (City/Municipality, Province)]
  • Mother's Full Maiden Name: [Your Mother's Full Maiden Name]
  • Father's Full Name: [Your Father's Full Name]
  • Purpose of Request: [State-specific purpose, e.g., passport application, employment, etc.]

I cannot personally appear and process this request due to [briefly state genuine reason: work schedule constraints, current location outside the Philippines, health limitations, etc.].

This authorization is valid until [specific date or "the completion of this transaction"].

I have attached a photocopy of my valid ID and my authorized representative's valid ID for verification purposes.

Should you need further information or clarification, please get in touch with me at [Your Contact Number] or [Your Email Address].

Thank you for your assistance in this matter.

Respectfully yours,

[Your Handwritten Signature] [Your Complete Name - Printed]

Attachment(s):

  • Photocopy of my valid ID
  • Photocopy of authorized representative's valid ID

Authorization Letter Sample to Claim Documents

[Your Name]
[Your Address]
[City, Province, Zip Code]
[Email Address]
[Phone Number]
[Date]

SUBJECT: Authorization to Claim Documents

To Whom It May Concern:

I, [Your Full Legal Name], with residence address at [Your Complete Current Address], hereby authorize [Authorized Person's Full Name] with ID number [Authorized Person's ID Number] to claim the following document(s) on my behalf:

  • [Specify Document #1]
  • [Specify Document #2, if applicable]
  • [Specify Document #3, if applicable]

I cannot personally claim these documents due to [briefly state genuine reason: work commitments, travel constraints, health limitations, etc.].

My authorized representative has my complete trust and permission to sign any necessary forms or receipts required to release these documents.

For verification purposes, I have attached photocopies of both my valid ID and my representative's valid ID to this letter.

This authorization is valid from [start date] to [end date OR "until the successful retrieval of the specified documents"].

Should you need any clarification or additional information, please contact me directly at [your phone number] or [your email address].

Thank you for your assistance and understanding in this matter.

Respectfully yours,

[Your Handwritten Signature] [Your Printed Full Name]

Attachments:

  • Photocopy of my valid ID ([type of ID])
  • Photocopy of authorized representative's valid ID ([type of ID])

Authorization Letter sample to Claim School Documents

[Your Name]
[Your Address]
[City, State, ZIP Code]
[Email Address]
[Phone Number]
[Date]

SUBJECT: Authorization to Claim School Documents

To Whom It May Concern:

I, [Your Full Legal Name], a former student of [Name of School/University] with Student ID Number [Your Student ID Number], hereby authorize [Authorized Person's Full Name] with ID Number [Authorized Person's ID Number/Type] to claim the following educational document(s) on my behalf:

  • [Specify Document - e.g., Transcript of Records]
  • [Specify Document - e.g., Diploma/Certificate]
  • [Specify Document - e.g., Good Moral Certificate]
  • [Specify Document - e.g., Form 137/School Records]

I am currently unable to claim these documents personally due to [briefly state genuine reason: relocation to another city/country, work schedule constraints, health limitations, etc.].

My representative has my full trust and permission to sign any necessary clearance forms, pay any outstanding fees, and receive the above-mentioned documents from your office.

For verification purposes, I have attached photocopies of my school ID/valid government ID and my representative's valid ID to this letter.

This authorization is valid from [start date] until [end date OR "until the successful retrieval of the specified documents"].

If you need any additional information or verification, please contact me directly at [your phone number] or [your email address].

Thank you for your assistance in this matter.

Respectfully yours,

[Your Handwritten Signature] [Your Printed Full Name] [Your Student ID Number/Year of Graduation]

Attachments:

  • Photocopy of my valid ID
  • Photocopy of authorized representative's valid ID

    Authorization Letter sample for Medical Assistance

    [Your Name]
    [Your Address]
    [City, State, ZIP Code]
    [Email Address]
    [Phone Number]
    [Date]

    SUBJECT: Authorization for Medical Assistance

    To Whom It May Concern:

    I, [Your Full Legal Name], of legal age, residing at [Your Complete Current Address], with contact number [Your Contact Number], hereby authorize [Authorized Person's Full Name] with ID Number [Authorized Person's ID Number] to:

    • Access my medical records and information
    • Discuss my medical condition with my healthcare providers
    • Make medical decisions on my behalf if I am unable to do so
    • Consent to medical procedures deemed necessary by medical professionals
    • Handle financial matters related to my medical care including insurance claims
    • [Any other specific authorizations relevant to your situation]

    This authorization is necessary as I am [briefly state genuine reason: temporarily incapacitated, requiring assistance due to my medical condition, unable to be physically present for appointments, etc.].

    My authorized representative's relationship to me is [state relationship: spouse, parent, adult child, sibling, etc.], and they can be contacted at [Authorized Person's Contact Number].

    For identification purposes, my date of birth is [Your Date of Birth] and my medical record/patient number is [Your Medical Record/Patient Number if applicable].

    This authorization is valid from [start date] until [end date OR "revoked by me in writing" OR "until my recovery as determined by my physician"].

    In case of emergency, please contact: Primary Contact: [Name and Phone Number] Secondary Contact: [Name and Phone Number]

    I understand that I have the right to revoke this authorization at any time by providing written notice to [Medical Facility Name].

    Should you need any clarification or additional information, please contact me directly at [your phone number] or [your email address].

    Thank you for your assistance and understanding.

    Sincerely,

    [Your Handwritten Signature] [Your Printed Full Name]

    Attachments:

    • Photocopy of my valid ID
    • Photocopy of authorized representative's valid ID
    • [Any other relevant document: health insurance card, etc.]

      Authorization Letter sample for SSS (Social Security System) Transactions

      [Your Name]
      [Your Address]
      [City, Province, ZIP Code]
      [Email Address]
      [Phone Number]
      [Date]
      The Branch Manager
      Social Security System (SSS)
      [Branch Name]
      [Branch Address]
      [City, Province, ZIP Code]
      Subject: Authorization to Process SSS Transactions

      To Whom It May Concern,

      I, [Your Full Name], an SSS member with SSS Number [Your SSS Number], at this moment, authorize [Authorized Person’s Full Name], residing at [Authorized Person’s Address], to act on my behalf in processing the following SSS-related transactions:

      • [List of Specific Transactions, e.g., "Claim SSS benefits," "Update SSS records," "Submit SSS forms," etc.]

      This authorization is granted solely to complete the transactions above. [Authorized Person’s Full Name] is authorized to sign any necessary documents and receive any correspondence or documents related to these transactions on my behalf.

      This authorization is effective from [Start Date]. It will remain valid until [End Date or "until the completion of the transactions"].

      Please fully assist [Authorized Person’s Full Name] in processing these requests. Should you require further information or verification, please contact me directly at [Your Phone Number] or [Your Email Address].

      Thank you for your cooperation.

      Sincerely, [Your Printed Name]
      [Your SSS Number]
      Attachments:

      • Photocopy of [Your SSS ID or Government-Issued ID]
      • Photocopy of [Authorized Person’s Government-Issued ID]

        Authorization Letter Sample for GST Transactions

        [Your Name]
        [Your Address]
        [City, State, ZIP Code]
        [Email Address]
        [Phone Number]
        [Date]
        To,
        The Commissioner
        [Name of the GST Office]
        [Office Address]
        [City, State, ZIP Code]

        Subject: Authorization to Act on My Behalf for GST Transactions

        To Whom It May Concern,

        I, [Your Full Name], a registered taxpayer under GST with GSTIN [Your GSTIN], hereby authorize [Authorized Person’s Full Name], residing at [Authorized Person’s Address], to act on my behalf in matters related to Goods and Services Tax (GST) for the following transactions:

        • [List of Specific GST Transactions, e.g., "Filing GST Returns," "Submitting GST Applications," "Responding to GST Notices," etc.]

        This authorization includes the authority to sign, submit, and receive any documents, applications, or correspondence related to the GST as mentioned above transactions. [Authorized Person’s Full Name] can also appear before any GST authorities on my behalf.

        This authorization is effective from [Start Date]. It will remain valid until [End Date or "until revoked by me in writing"].

        Please help [Authorized Person’s Full Name] process these GST-related transactions. If you require further information or verification, please contact me directly at [Your Phone Number] or [Your Email Address].

        Thank you for your cooperation.

        Sincerely,
        [Your GSTIN]
        Attachments:

        • Photocopy of [Your Government-Issued ID]
        • Photocopy of [Authorized Person’s Government-Issued ID]
        • Photocopy of Your GST Registration Certificate

        Authorization Sample Letter for Insurance Claim

        [Your Name]
        [Your Address]
        [City, State, ZIP Code]
        [Email Address]
        [Phone Number]
        [Date]
        To,
        The Claims Manager
        [Insurance Company Name]
        [Company Address]
        [City, State, ZIP Code]

        SUBJECT: Authorization for Insurance Claim Processing

        To Whom It May Concern:

        I, [Your Full Legal Name], the policyholder with policy number [Your Policy Number], hereby authorize [Authorized Person's Full Name] with ID Number [Authorized Person's ID Number/Type] to act on my behalf regarding the insurance claim related to [briefly describe the incident/loss: auto accident on (date), property damage from (event), medical treatment for (condition), etc.].

        My authorized representative has my permission to:

        • Submit and sign claim forms and supporting documentation
        • Communicate with adjusters and insurance representatives
        • Receive information about the status of my claim
        • Negotiate settlement terms
        • Receive claim payments on my behalf (if applicable)
        • [Any other specific authorizations needed]

        I am unable to handle these matters personally due to [briefly state genuine reason: medical recovery, work obligations, travel constraints, etc.].

        For verification purposes, my relationship with the authorized person is [state relationship: spouse, relative, friend, etc.], and they can be reached at [Authorized Person's Contact Number] and [Authorized Person's Email].

        This authorization is valid from [start date] until [end date OR "the complete resolution of this claim"].

        Please accept this letter as my formal authorization and consent for the release of all claim-related information to my designated representative. I understand that I remain ultimately responsible for all aspects of this claim.

        Should you need any additional information or verification, please contact me directly at [your phone number] or [your email address].

        Thank you for your assistance in this matter.

        Sincerely,

        [Your Handwritten Signature] [Your Printed Full Name]

        Attachments:

        • Photocopy of my valid ID
        • Photocopy of authorized representative's valid ID
        • Copy of insurance policy (if required)

        Sample of Authorization Letter for Bank Transactions

        [Your Name]
        [Your Address]
        [City, State, ZIP Code]
        [Email Address]
        [Phone Number]
        [Date]
        To,
        The Branch Manager
        [Bank Name]
        [Branch Name]
        [Branch Address]
        [City, State, ZIP Code]

        SUBJECT: Authorization for Bank Transactions

        Account Number: [Your Account Number]

        Dear Sir/Madam,

        I, [Your Full Legal Name], the account holder of account number [Your Complete Account Number] maintained at your bank, hereby authorize [Authorized Person's Full Name] with ID Number [Authorized Person's ID Number]to conduct the following transaction(s) on my behalf:

        • [Withdraw funds (specify amount if applicable)]
        • [Deposit funds]
        • [Transfer funds to specific accounts]
        • [Request account statements]
        • [Update account information]
        • [Any other specific transactions - specify clearly]

        This authorization is necessary as I am unable to visit the bank personally due to [briefly state genuine reason: travel commitments, health constraints, work schedule, temporary relocation, etc.].

        My authorized representative's relationship to me is [state relationship: spouse, parent, sibling, etc.], and they can be reached at [Authorized Person's Contact Number] for verification purposes.

        For security and verification, I confirm that:

        • My authorized representative will present their valid government-issued ID
        • The specimen signature of my authorized representative appears below
        • I have attached photocopies of both my valid ID and my representative's ID

        Please note that this authorization is valid from [Start Date] until [End Date or "one-time transaction only" if applicable].

        I understand that I will be fully responsible for all transactions conducted by my authorized representative under this letter. I also understand that the bank reserves the right to verify this authorization by contacting me directly before processing any transactions.

        Should you need any additional information or clarification, please contact me directly at [Your Contact Number] or [Your Email Address].

        Thank you for your assistance in this matter.

        Sincerely,

        [Your Handwritten Signature] [Your Printed Full Name]

        Specimen Signature of Authorized Representative:

        [Authorized Person's Signature] [Authorized Person's Printed Name]

        Attachments:

        • Photocopy of account holder's valid ID
        • Photocopy of authorized representative's valid ID
        • [Any other supporting documents required by the bank]

        IMPORTANT NOTE: Banks typically have their own specific authorization forms and procedures. This template is meant as a general guide. Please check with your specific bank for their requirements before submitting anyauthorization letter.

        Tips for Writing

        When crafting your authorization letter, consider these tips:

        1. Be Clear and Concise: Use straightforward language to avoid misunderstandings. Clearly outline what the authorized person can and cannot do.
        2. Specify the Scope of Authority: Define the extent of the powers granted. This might include specific tasks, decisions, or actions.
        3. Include All Relevant Details: Ensure that all necessary information, such as dates and specific instructions, is included in the letter.
        4. Review the Letter: Before finalizing, double-check the details to avoid errors that could render the letter invalid.

        Common Uses

        Authorization letters are often used in various situations, such as:

        • Legal Matters: Allowing a lawyer or another individual to represent you in legal proceedings.
        • Financial Transactions: Authorizing someone to manage your bank accounts, investments, or other assets.
        • Property Management: Permitting someone to handle property-related matters, such as renting or selling real estate.
        • Document Collection: Grant permission for someone to collect essential documents on your behalf.

        Conclusion

        Once you understand the key components and common uses, crafting an authorization letter is a straightforward process. Whether you need a power of attorney, a letter of consent, or a proxy authorization, ensuring that your letter is clear, concise, and legally sound is essential. Use the authorization letter samples in this guide to help you create a document that meets your needs.


        1 comment


        • KRISHNA ENTERPRISES April 10, 2025 at 8:33 am

          AUTHORIZATION LETTER OR REPRESENTATIVE


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