Authorization Letter to Collect Documents

Allen Sampson
123 Liberty Lane
Springfield, ST, 98765
Email: [email protected]
Phone: (555) 123-4567
Date: October 15, 2023

To Whom It May Concern,

I, Allen Sampson, residing at 123 Liberty Lane, Springfield, ST, 98765, hereby authorize Jessica Miller, of 456 Freedom Drive, Springfield, ST, 98765, to collect the [specify the documents, e.g., “birth certificate and academic records”] on my behalf from [document holder’s name or institution, e.g., “Springfield Municipal Office”].

Due to [mention reason, e.g., “prior work commitments”], I am unable to personally collect these documents. Therefore, I have entrusted Ms. Jessica Miller, who will present her identification for verification purposes, to act in my place and collect the aforementioned documents.

This authorization is valid from the date of this letter until [specify end date or event, e.g., “October 30, 2023”], within which the documents should be collected. Please allow her to review the documents to ensure their correctness and completeness before taking them.

Should you require any further verification or have questions regarding this authorization, please feel free to contact me directly at (555) 123-4567 or via email at [email protected].

Thank you for your cooperation and understanding.


Allen Sampson

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