Authorization Letter for Birth Certificate Example

Real-world Authorization Letter sample

Jordan A. Smith
1500 4th Ave, Seattle, WA 98101 [email protected] · (206) 555‑0148
November 23, 2025
To Whom It May Concern Seattle Vital Records Office
To Whom It May Concern, I, Jordan A. Smith, hereby authorize Maria L. Reyes, holding Passport No. X1234567, to request and receive an official copy of my Birth Certificate from the Seattle Vital Records Office. This authorization is valid from November 5, 2025 to November 30, 2025. Attached are photocopies of my valid ID and the authorized representative’s ID for verification. Thank you for your assistance.
Sincerely, Jordan A. Smith
An authorization letter formally grants another person permission to act on your behalf for a specific purpose. Organizations rely on this document to verify identity and scope, so clarity and completeness are essential. Match the names and IDs exactly to official documents, and specify the time window and limits of the authority. Include the following elements: - Header: Your name and contact details, date, and the recipient organization’s details. - Recipient line: The office or organization to whom the letter is addressed. - Authorization statement: Who is authorizing whom, for what exact action, and where (office/branch). - Authorized person details: Full name, relationship (if any), and a government ID type and number (e.g., Passport No. XXXXX, Driver’s License). - Scope and limitations: Clearly indicate what the person may do (collect, submit, inquire) and any restrictions. - Validity period: Start and end dates or “valid on [date] only”. - Supporting documents: List and attach copies of your ID and the authorized person’s ID; include reference numbers if relevant. - Contact information: Your phone/email for verification. - Closing and signature: Professional sign‑off with your handwritten or digital signature and printed name. If required, add witness/notary details.

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