Legal & declarations
Authorization letter template (US)
A general template under US law. Laws differ from state to state, so check it against your state's law or with a lawyer licensed there. We are not a law firm and do not give legal advice.
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Preview — US standard
Letter of Authorization
Date: Letter Date
To: Organization or Person Receiving This Letter
Recipient Address
Re: Authorization for Authorized Person Name
I, Your Full Name, of Your Address, date of birth Your Date of Birth, authorize Authorized Person Name, of Authorized Person Address, to act on my behalf for the following purpose only:
Specific Task, such as Picking Up My Documents, Discussing My Account No. ___, Collecting a Package or Signing for a Delivery
Limits
• This authorization is valid from Start Date to End Date, unless I cancel it earlier in writing.
• It covers only the task described above. It does not allow Actions Not Allowed, such as Withdrawing Money or Signing Contracts.
• This letter is not a power of attorney.
Identification
The authorized person will show a valid government-issued photo ID. My ID: Your ID Type and Last Four Digits. Authorized person's ID: Authorized Person ID Type and Last Four Digits.
If you have questions, you may contact me at Your Phone and Email.
Signature: Your Signature
Printed name: Your Printed Name
Authorized person's signature: Authorized Person Signature
Optional Notary Acknowledgment, if the Recipient Requires It