Authorization Letter for Birth Certificate Example
Authorization letter to allow a representative to request and receive an official birth certificate on your behalf.
Jordan A. Smith
1500 4th Ave, Seattle, WA 98101
[email protected] · (206) 555‑0148
November 23, 2025
To Whom It May Concern
U.S. Department of State Acceptance Facility
To Whom It May Concern,
I, Jordan A. Smith, authorize Maria L. Reyes, my spouse, to claim my passport renewal document with reference number PR‑2025‑7781 from the U.S. Department of State Acceptance Facility.
This authorization is valid on November 14, 2025 at 10:00 AM. Please accept copies of our valid IDs for verification.
Thank you for your cooperation.
Sincerely,
Jordan A. Smith
Authorization letter to allow a representative to request and receive an official birth certificate on your behalf.
Authorization letter for banking matters, including deposits, withdrawals, document pickup, or statement requests.
Authorization letter for Philippine Statistics Authority (PSA) requests such as birth, marriage, CENOMAR, or death certificates.