Simple Authorization Letter Sample
How to write any authorization letter?
- Identify yourself by yourself as accurately as possible.
- Introduce the person or entity to whom you wish to grant authority.
- Mention their name, their ID number, and how they relate to you.
- Specify the scope of the authority, that is the allowed actions.
- Specify any exclusions if any. These are specific actions within the scope that you explicitly do not wish to authorize.
- Provide a starting and an expiry date if needed.
- List additional clauses as needed, for example, the transferable authority clause.
General format of an Authorization Letter
Simple Authorization Letter
[Your Name]
[Your Address]
[Your Contact Information] [Date]
[Your Address]
[Your Contact Information] [Date]
[Recipient Name]
[Recipient Address]
Authorization Letter
I, [your name], hereby authorize [Mr. John Smith] to [authorization actions, example: sell my car, sell my house, withdraw money from my bank account number xxxxxx, etc.….] excluding [excluded actions, specific things that you don’t want to authorize] starting from [start date] till [end date or empty].
[Mr. John] may sign all necessary documents and perform related actions within the scope described in this letter.
The authorized person’s identity proof details and signature are provided below for your reference and verification purposes.
Authorized Person: [Mr. John Smith]
Identity Document: [Passport]
Identity Document Number: [123456789]
Authorized Person’s Signature:
Authorized Transactions: [withdrawals, deposits, loan settlements, etc.….]
Unauthorized Transactions: [fixed deposits, etc.…]
Start Date: [start date]
End Date: [end date]
Identity Document: [Passport]
Identity Document Number: [123456789]
Authorized Person’s Signature:
Authorized Transactions: [withdrawals, deposits, loan settlements, etc.….]
Unauthorized Transactions: [fixed deposits, etc.…]
Start Date: [start date]
End Date: [end date]
Sincerely,
Authorization Letter For Bank
When do you need an authorization letter to your bank?
- To authorize someone to generate a bank statement on your behalf
- To authorize someone to perform transactions on your bank account (withdraw money for example)
- To authorize someone to collect a checkbook for you
- To grant a signing authority to someone so that they can sign banking documents on your behalf
- To authorize someone to encash a cheque on your behalf
How to write a authorization letter to the bank?
- List your account number and the bank name.
- Introduce the person or entity to whom you wish to grant authority.
- Mention the authorized person's name, ID number, and their relationship.
- Specify the exclusions if applicable.
- Provide a starting and an expiry date if applicable.
Let us see some sample letters for each situation
Sample authorization letter to issue a bank statement
Your Name
Your Address
Your Contact Details
Bank Name
Bank Address
Subject: Authorization Letter
I am writing to give permission to [my wife Jennifer Smith], identified by passport number [123456], to issue and receive bank statements from my savings account at [the United Bank], identified by account number [789456] under the name of [your name].
This authorization is valid from [start date] till [end date].
[List of exclusions if any].
Sincerely,
Your Address
Your Contact Details
Bank Name
Bank Address
Subject: Authorization Letter
I am writing to give permission to [my wife Jennifer Smith], identified by passport number [123456], to issue and receive bank statements from my savings account at [the United Bank], identified by account number [789456] under the name of [your name].
This authorization is valid from [start date] till [end date].
[List of exclusions if any].
Sincerely,
Transaction Authorization Letter: sample authorization to allow someone to withdraw cash from your account
Your Name
Your Address
Your Contact Details
Bank Name
Bank Address
Subject: Authorization Letter
This letter is to authorize [Mr. John Smith], my cousin and identified by ID number [123456], to withdraw cash from my current account number [45268] at [the Federal Bank].
[Mr. John] may withdraw no more than [$30,000] in a single calendar month. This authorization is valid from the date of this letter till [end date] or otherwise explicitly invalidated.
[List of exclusions if any]
* [Mr. John] may not set up standing orders to transfer funds.
* Funds may only be withdrawn in cash.
* [Other Exclusions]
Sincerely,
Your Address
Your Contact Details
Bank Name
Bank Address
Subject: Authorization Letter
This letter is to authorize [Mr. John Smith], my cousin and identified by ID number [123456], to withdraw cash from my current account number [45268] at [the Federal Bank].
[Mr. John] may withdraw no more than [$30,000] in a single calendar month. This authorization is valid from the date of this letter till [end date] or otherwise explicitly invalidated.
[List of exclusions if any]
* [Mr. John] may not set up standing orders to transfer funds.
* Funds may only be withdrawn in cash.
* [Other Exclusions]
Sincerely,
Sample authorization to allow someone to collect or pick up a cheque book, credit card, or ATM card
Your Name
Your Address
Your Contact Details
Bank Name
Bank Address
Subject: Consent Letter
I, [your name], holder of account number [123456] at [the Allied Bank], hereby give my written permission to [Mr. John Smith], holder of passport number [78645], to collect my [cheque books, credit card, etc.] from the bank.
This is a one-time authorization which is valid only till [end date].
Sincerely,
Your Address
Your Contact Details
Bank Name
Bank Address
Subject: Consent Letter
I, [your name], holder of account number [123456] at [the Allied Bank], hereby give my written permission to [Mr. John Smith], holder of passport number [78645], to collect my [cheque books, credit card, etc.] from the bank.
This is a one-time authorization which is valid only till [end date].
Sincerely,
Sample authorization for signing authority
Your Name
Your Address
Your Contact Details
Bank Name
Bank Address
Subject: Signing Authority Grant Letter
This letter is with regards to bank account [547896] under the name of [your name].
I hereby give full authority to [Mr. John Smith] to sign documents pertaining to the above-said account and to represent me and act on behalf in my relationship with the bank.
This authorization is not transferable.
Mr. John's identification details are listed below for verification purposes.
Sincerely,
Your Address
Your Contact Details
Bank Name
Bank Address
Subject: Signing Authority Grant Letter
This letter is with regards to bank account [547896] under the name of [your name].
I hereby give full authority to [Mr. John Smith] to sign documents pertaining to the above-said account and to represent me and act on behalf in my relationship with the bank.
This authorization is not transferable.
Mr. John's identification details are listed below for verification purposes.
Sincerely,
Sample authorization for encash a cheque
Your Name
Your Address
Your Contact Details
Bank Name
Bank Address
Dear Bank Manager,
This is to authorize [Mr. John] (ID number 45680) to encash cheque number [566] (amount is $8000) that is issued to me by [issusing party name] on [cheque date].
I kindly ask you to facilitate the fund transfer process as described therebefore.
Sincerely,
Your Address
Your Contact Details
Bank Name
Bank Address
Dear Bank Manager,
This is to authorize [Mr. John] (ID number 45680) to encash cheque number [566] (amount is $8000) that is issued to me by [issusing party name] on [cheque date].
I kindly ask you to facilitate the fund transfer process as described therebefore.
Sincerely,
Authorization Sample Letter To Collect, Pick up, or Receive
As with the bank authorizations described above, the format is very much similar. The basic idea of any authorization letter is to specify two things: what is authorized and to whom.
How to write a collection authorization letter?
- Introduce yourself.
- Identiy the items that need to be collected or received. Provide as many details as possible to remove any doubt.
- List down the details of the authorized person including their name and ID number.
- If needed, provide a list of authorized actions. Those are the things that are you explicitly don't want to permit.
- Specify a time frame for your authorization. This may be needed in situations where there is risk of it being used more than once without your consent.
Sample Authorization to Collect or Pick Up documents, a certificate, or a shipment
Your Name
Your Address
Recipient Name
Recipient Address
Dear [Recipient Name],
My name is [your name], a client of [company name]. I was supposed to pay a visit to your office
to collect [some documents or shipment].
Due to an unexpected situation, I will not be able to show up, instead, I will be sending my
friend [Mr. John] to pick the documents/certificate on my behalf.
[Mr. John]'s ID number is [7894]. Please make sure that he and only he receives the shipment and completes the necessary paperwork pertaining to it.
Sincerely,
Your Address
Recipient Name
Recipient Address
Dear [Recipient Name],
My name is [your name], a client of [company name]. I was supposed to pay a visit to your office
to collect [some documents or shipment].
Due to an unexpected situation, I will not be able to show up, instead, I will be sending my
friend [Mr. John] to pick the documents/certificate on my behalf.
[Mr. John]'s ID number is [7894]. Please make sure that he and only he receives the shipment and completes the necessary paperwork pertaining to it.
Sincerely,
Sample Authorization to allow someone to recieve a shipment for you
Your Name
Your Address
Recipient Name
Recipient Address
Dear [Recipient Name],
My name is [your name] and I am expecting shipment number [12346] from you on [some date].
I may not available at the time of delivery, so I request from you to hand over the goods to [Mr. John Smith] instead.
I kindly ask you to verify the identity of the receiver upon delivery. Thank you for your understanding and cooperation.
Sincerely,
Your Address
Recipient Name
Recipient Address
Dear [Recipient Name],
My name is [your name] and I am expecting shipment number [12346] from you on [some date].
I may not available at the time of delivery, so I request from you to hand over the goods to [Mr. John Smith] instead.
I kindly ask you to verify the identity of the receiver upon delivery. Thank you for your understanding and cooperation.
Sincerely,
Sample Authorization for collecting money, salary, or a payment
Your Name
Your Address
Recipient Name
Recipient Address
Dear [Recipient Name],
With regards to my [end of service] payment, I hereby grant [Mr. John Smith] the permission to collect the money and to sign over the corresponding receipts on my behalf.
Attached to this letter is a copy of [Mr. John's] ID for verification purposes.
This is a one-time authorization to collect a single payment.
Sincerely,
Your Address
Recipient Name
Recipient Address
Dear [Recipient Name],
With regards to my [end of service] payment, I hereby grant [Mr. John Smith] the permission to collect the money and to sign over the corresponding receipts on my behalf.
Attached to this letter is a copy of [Mr. John's] ID for verification purposes.
This is a one-time authorization to collect a single payment.
Sincerely,
Authorization Letter To Use Credit Card or ATM Card (in third person)
Your Name
Your Address
Recipient Name
Recipient Address
On [some date], [Mr. John Smith], identified by passport number 12346, has given his consent to the use of his credit card by [Mr. Jacob Black], identified by passport number 9651651. This authorization is subject to the below terms:
1) Validity: from [start date] till [end date]
2) Limit: a maximum amount of 3,000$ in total
3) [Other conditions go here]
Sincerely,
Your Address
Recipient Name
Recipient Address
On [some date], [Mr. John Smith], identified by passport number 12346, has given his consent to the use of his credit card by [Mr. Jacob Black], identified by passport number 9651651. This authorization is subject to the below terms:
1) Validity: from [start date] till [end date]
2) Limit: a maximum amount of 3,000$ in total
3) [Other conditions go here]
Sincerely,
Health or Medical Treatment Authorization Letter (For Child)
In certain cases when, especially when risk is involved, health professionals require authorization from the relatives of the patient or the parents of the child to proceed with medical treatment. Lets us explore the format of these letters.
- Provide the patient name and details
- Provide your details and specify your relationship to the patient.
- List down the types of medical treatments or procedures that can be performed or the name of medications that can be prescribed.
- Provide a list of procedures that cannot be performed (exclusions)
- Signal your understanding of the risks involved with the procedure or the medicine.
Sample authorization letter for medical treatment:
To: [Hospital or Doctor Name],
I [your name] hereby authorize [Dr. John Smith] to perform [procedure or treatment name]
on [my son, daughter, etc.] on [some date].
I acknowledge that the risks involved with this treatment have been explained to me and I am
aware of the possible complications that could arise as a result.
Sincerely,
I [your name] hereby authorize [Dr. John Smith] to perform [procedure or treatment name]
on [my son, daughter, etc.] on [some date].
I acknowledge that the risks involved with this treatment have been explained to me and I am
aware of the possible complications that could arise as a result.
Sincerely,
Sample authorization letter for providing medical treatment or giving medicine to child at school
To: [School Name],
I, the parent of [student name], hereby give permission to the [The National School]'s medical
team to provide the required medical assistance to my child in the event of an emergency and when
I'm unreachable, which includes prescribing medicine or taking [him/her] to the hospital
if needed.
Sincerely,
I, the parent of [student name], hereby give permission to the [The National School]'s medical
team to provide the required medical assistance to my child in the event of an emergency and when
I'm unreachable, which includes prescribing medicine or taking [him/her] to the hospital
if needed.
Sincerely,
Letter Of Authorization To Release Information
Use this letter whenever you wish to give someone access to your private information. The most common use is the release of one's medical history.
Dear [Recipient Name],
I, [your name], a patient of [hospital name], hereby authorize my cousin, [Mr. John Smith], to take a copy of my medical chart from the hospital's medical records.
Sincerely,
I, [your name], a patient of [hospital name], hereby authorize my cousin, [Mr. John Smith], to take a copy of my medical chart from the hospital's medical records.
Sincerely,
Parental authorization letter to travel with a minor or a child
You will need this letter when you want to allow your child to travel alone or with someone other than you. As per the international laws (local laws may vary), children below 18 years old may not board on a plane if not accompanied by their parents or with an authorized person. The fact that this law is not strictly enforced all of the time is another matter.
To: [New York International Airport]
As the [legal guardian/parent] of [child name], American national with passport number [14528], I hereby give my consent for my child to be accompanied by [Mr. John Smith], American national and holding a passport number [96985], on their flight from [New York] to [London] on [flight date].
Sincerely,
As the [legal guardian/parent] of [child name], American national with passport number [14528], I hereby give my consent for my child to be accompanied by [Mr. John Smith], American national and holding a passport number [96985], on their flight from [New York] to [London] on [flight date].
Sincerely,
Parental authorization letter for minor to travel alone
To: [New York International Airport]
As the [legal gaurdian / parent] of [child name], American national with passport number [14528], I am allowing my child to travel unaccompanied on [his / her] their flight from [New York] to [London] on [flight date].
I confirm that my child is independent enough to travel on their own. I acknowledge taking full responsibility for this decision.
Sincerely,
As the [legal gaurdian / parent] of [child name], American national with passport number [14528], I am allowing my child to travel unaccompanied on [his / her] their flight from [New York] to [London] on [flight date].
I confirm that my child is independent enough to travel on their own. I acknowledge taking full responsibility for this decision.
Sincerely,
Authorization Letter to Sell or Use Car
To whom it may concern
I, [your name], hereby authorize [Mr. John Smith], to sell my vehicle (described below) and act on my behalf in signing papers related to the sale transaction and in performing the necessary procedures to complete the deal.
Vehicle Details:
* Vehicle Make and Model: [Toyota Corolla]
* Model Year: [154654]
* Plate Number: [12468]
* Chaisis Number: [5959489498]
Sincerely,
I, [your name], hereby authorize [Mr. John Smith], to sell my vehicle (described below) and act on my behalf in signing papers related to the sale transaction and in performing the necessary procedures to complete the deal.
Vehicle Details:
* Vehicle Make and Model: [Toyota Corolla]
* Model Year: [154654]
* Plate Number: [12468]
* Chaisis Number: [5959489498]
Sincerely,
Authorization Letter to Use Car
To whom it may concern
I, [your name], hereby authorize [Mr. John Smith], to use my vehicle (described below) from [start date] till [end date].
This authorization is subject to the below terms and conditions:
* Type of Use: personal, non-commercial
* Geographical area: the car may only be driven inside the city
* Damages: [Mr. John] shall bear any cost the results from misuse of the car or damages.
* [other terms]
Vehicle Details:
* Vehicle Make and Model: [Toyota Corolla]
* Model Year: [154654]
* Plate Number: [12468]
* Chaisis Number: [5959489498]
Sincerely,
I, [your name], hereby authorize [Mr. John Smith], to use my vehicle (described below) from [start date] till [end date].
This authorization is subject to the below terms and conditions:
* Type of Use: personal, non-commercial
* Geographical area: the car may only be driven inside the city
* Damages: [Mr. John] shall bear any cost the results from misuse of the car or damages.
* [other terms]
Vehicle Details:
* Vehicle Make and Model: [Toyota Corolla]
* Model Year: [154654]
* Plate Number: [12468]
* Chaisis Number: [5959489498]
Sincerely,
Claim Check Authorization Letter
A claim check is a receipt that you get when you handover something that belongs to you to someone
else. The simplest example of a claim check is the valet parking ticket.
else. The simplest example of a claim check is the valet parking ticket.
Sample letter to claim documents or something else
With reference to the servicing of my laptop that was sent to you last week with job number [123456], I am authorizing [Mr. John] to claim the device on my behalf. Original receipt (receipt number 1452) shall be presented at the time of pick up.
Best Regards
Best Regards
Authorization Letter Sample to Sign or Process Documents
Dear [Recipient Name],
With reference to car shipment that is expected to arrive on [some date], I am delegating the
role of clearing the shipment from the customs to [Mr. John Smith] whom I'm giving herewithin the
authority to sign and process all the related documents.
Sincerely
With reference to car shipment that is expected to arrive on [some date], I am delegating the
role of clearing the shipment from the customs to [Mr. John Smith] whom I'm giving herewithin the
authority to sign and process all the related documents.
Sincerely
Other types of authoizions:
Listed below are other situations where authorization is required. Use the general letter format at the top to write any of these letters.
More authorization: Employment, Third Party, Transcript Of Records, Clearance, Visit
Sales Authorization Letter
You need when you want to able someone to sell things for you without you being involved.School Authorization Letter
To grant permission to the school to certain action, most commonly used to grant permission to a school trip or for giving medicine.More authorization: Employment, Third Party, Transcript Of Records, Clearance, Visit
Trademark Authorization Letter
We, [your company name], hereby authorize [Supplier Name] to use our trademark [in their advertisement, invoices, brochures, etc...] and with accordance to the general trademark usage policies outlined in [the fair trademark usage policy]. This authorization is valid from [start date] to [end date] or until the contract end date.
Corporate Authorization Letter On Behalf Of Company
More often than not, companies need to send representatives to conduct business transactions on their behalf. This practice is only possible if the organization gives its employees authorizations to perform certain activities for the company.
The authorization needs to be printed on the company letterhead. Below is a sample letter that your organization can make use of to delegate access to their representatives.
The authorization needs to be printed on the company letterhead. Below is a sample letter that your organization can make use of to delegate access to their representatives.
Business Authorization for Company Respresentitve or an agent
To Whom It May Concern:
[Example Company], a [New York] registered corporation having trade license [458964], confirms that [Mr. John Smith], who currently works there as a [job title], has been given the authority to [some action, for example, to issue a trade license] on behalf of [company name].
This authorization is considered to void if [he/she] is no longer working for [Company Name] or if the authorization has been canceled.
Details of the company and the employee are provided below for the sake of verification.
Sincerely,
[Example Company], a [New York] registered corporation having trade license [458964], confirms that [Mr. John Smith], who currently works there as a [job title], has been given the authority to [some action, for example, to issue a trade license] on behalf of [company name].
This authorization is considered to void if [he/she] is no longer working for [Company Name] or if the authorization has been canceled.
Details of the company and the employee are provided below for the sake of verification.
Sincerely,