Letter of Authorization to Represent to Claim


[Your Full Name]
[Your Address]
[City, State, Zip]


[Recipient’s Full Name]
[Recipient’s Address]
[City, State, Zip]

Subject: Authorization to Represent to Claim

Dear [Recipient’s Full Name],

I, [Your Full Name], residing at [Your Address], hereby authorize [Representative’s Full Name], of [Representative’s Address], to act as my representative in claiming [specific item or right to be claimed, e.g., documents, property, insurance benefits, etc.] on my behalf.

This authorization includes the power to sign documents related to the claim, negotiate terms, and receive any relevant items or benefits.

This letter is effective immediately from [Start Date] and will be valid until [End Date] or until I provide a written notice of cancellation.

I trust that all actions taken by [Representative’s Full Name] on my behalf will be respected and treated as if done by myself. Your cooperation with [Representative’s Full Name] in this matter is greatly appreciated.


[Your Signature]
[Your Full Name]

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