Free Authorization Letter 19
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[Senders Name]
[Address line]
[State, ZIP Code]
[Letter Date]
[Recipients Name]
[Address line]
[State, ZIP Code]
[Subject: Normally bold, summarizes the intention of the letter] -Optional-

Dear [Recipients Name],
This letter is to authorize one Bellatrix C. Courts to pick up the birth certificate of my daughter, one
Samantha P. Park.
She is also to be able to have a look at any records which may be attached to the birth certificate at
(the signature is very much necessary in this sort of letter)
[Senders Name]
[Senders Title] -Optional[Enclosures: number] -Optionalcc: [Name of copy recipient] -Optional-