Authorization Letter For PSA Template

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Your Name

Street Address, City, ST ZIP
[email protected] · (123) 456‑7890


October 23, 2025

Recipient Name
Title
Company
Street Address
City, ST ZIP

To the Philippine Statistics Authority,

I, [Your Full Name], authorize [Authorized Person Name], with [ID Type/Number], to request and receive my [Birth/Marriage/CENOMAR/Death] certificate on my behalf.

Enclosed are photocopies of both our IDs. This authorization remains valid until [End Date].

Your assistance is appreciated.

Sincerely,


Your Name