How do you make an authorization letter to release information? Here’s a guide with format.
AUTHORIZATION LETTER SAMPLE – Here are some tips with a format and example when writing this type of letter.
An authorization letter is a written document that gives someone the legal authority to act on your behalf for a specific task or set of tasks. This is used when someone, for a valid reason, is unable to present or handle a matter. This letter grants permission to do actions, such as ollecting documents, signing papers, or making decisions.
This document is temporarily binding, but can be legally recognized to be used for personal, legal, or business matters. Some of its common uses include picking up official documents, authorizing someone to make decisions on your behalf, and giving a family member the authority to handle financial transactions.
Here’s a letter format you can follow:
[Name]
[Address]
[Contact]
[Date]
[Recipient Name]
[Recipient Address]
[Recipient Contact]
SALUTATION (example: To Whom It May Concern: or Dear Mr./Ms./Dr. [Last Name])
BODY OF LETTER
(single space in between sentences and double space in between paragraphs)
(you can use the block style format)
CLOSING SALUTATION (example Respectfully yours, Yours sincerely, Cordially, Respectfully, and for the less formal letter, you may use All the best, Best, Thank you, Regards)
SIGNATURE
(Under your closing, leave four single spaces between your typed full name, title, and other contact details you may want to include)
Here’s an example body for this type of authorization letter:
To whom it may concern:
I, Juan Dela Cruz, do hereby authorize the authorities of the General Hospital to release any information that Dr. Percival Riego, M.D., may need and require. Kindly allow Dr. Riego to have all the X-ray reports, CT scans, and any other information that he feels is essential for my treatment.
I give my permission for this information to be of use in the diagnosis and treatment of my recurring headache, and any re-disclosure for any other use will not be allowed.
Respectfully yours,
(signature)
Juan Dela Cruz