Generic Authorization Letter Template

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This is a template that can be used to draft an authorization letter. An authorization letter can be used for a variety of purposes, such as to approve a certain action, to grant permission, to designate responsibility, to grant permission for a medical procedure or to provide instruction. The template sets forth a standard format and may be customized to fit the specific needs of the drafting party. This document should be used as a guide by individuals or entities that want to create a customized authorization letter to authorize a certain action.

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									This is a template that can be used to draft an authorization letter. An authorization
letter can be used for a variety of purposes, such as to approve a certain action, to grant
permission, to designate responsibility, to grant permission for a medical procedure or to
provide instruction. The template sets forth a standard format and may be customized
to fit the specific needs of the drafting party. This document should be used as a guide
by individuals or entities that want to create a customized authorization letter to
authorize a certain action.
                                   AUTHORIZATION LETTER TEMPLATE

Date:



From: [Your Full Name]
      [Your Street Address]
      [Your City, State, Zip]
      [Your Phone Number]
      [Your Email Address]



To:      [Recipient Full Name]
         [Recipient Street Address]
         [Recipient City, State, Zip]



Subject: Authorization for [Authorization Type/Description]



[Recipient Name]:



[I/We/Company Name] hereby authorize [Name of Party/Individual/Company] to [List and describe the
specific details of the authorization conditions].



This authorization is effective [Enter effective date(s) and criteria].




Name (Print): _______________________ Name (Sign): _______________________ Date: _________

Name (Print): _______________________ Name (Sign): _______________________ Date: _________




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                                       AUTHORIZATION LETTER TEMPLATE


								
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