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