Birth Certificate Authorization Letter

Last Updated: April 26, 2024

Birth Certificate Authorization Letter

Michael Thompson
789 Willow Lane
Austin, Texas, 78744
[email protected]
February 8, 2024

Vital Records Office
Department of Health Services
123 Health Avenue
Austin, Texas, 78701

Subject: Authorization to Obtain Birth Certificate

Dear Sir/Madam,

I, Michael Thompson, born on March 14, 1980, hereby authorize Elizabeth Johnson to request and collect my birth certificate on my behalf. Due to current travel restrictions and my inability to be present in person, I require her assistance to obtain this vital document for the purpose of completing my passport application process.

Elizabeth Johnson is a trusted family friend, and I have full confidence in her ability to handle this sensitive document with the necessary care and confidentiality. Attached to this letter, you will find notarized copies of my government-issued identification (Driver’s License Number: TX-2024-987654) and Elizabeth Johnson’s identification (Driver’s License Number: TX-2024-123456) for your reference and verification. Elizabeth Johnson will present her original identification at the time of the birth certificate collection.

Please provide Elizabeth Johnson with any copies of my birth certificate that she may request and accept this letter as my full authorization for her to act on my behalf in this matter. Should you require any further information or confirmation from me, please do not hesitate to contact me directly at 512-555-0198 or via email at [email protected].

Thank you for your attention to this request and for your cooperation.


Michael Thompson

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