Authorization Letter Template
Updated July 7, 2026 | Legal
Grant someone permission to act on your behalf for specific purposes.
Quick Answer
Use this authorization letter template to create a clear, signed, mail-ready record. Fill in the bracketed details, review any legal or policy requirements, then copy, download, or send it online with tracking.
When to Use This Authorization Letter Template
- Grant someone permission to act on your behalf for specific purposes.
- The recipient requires a signed letter or written notice.
- You need a dated paper trail before a deadline or dispute escalates.
- You want delivery tracking and a copy for your records.
- You need a reusable starting point that can be customized before mailing.
Authorization Letter Template
The Letter Pilot
Mail-ready template
Official notice
AUTHORIZATION LETTER
[Your Name]
[Your Address]
[City, State, ZIP Code]
[Phone Number]
[Email]
[Date]
[Recipient Organization Name]
[Department, if applicable]
[Address]
[City, State, ZIP Code]
Re: Authorization Letter
Account/Reference Number: [IF APPLICABLE]
Subject: Authorization for [PURPOSE]
To Whom It May Concern:
I, [YOUR FULL LEGAL NAME], hereby authorize [AUTHORIZED PERSON'S FULL NAME] to act on my behalf for the following purpose(s):
TYPE OF AUTHORIZATION:
☐ Collect documents on my behalf
☐ Sign documents on my behalf
☐ Make decisions regarding [SPECIFY]
☐ Access my account/records
☐ Pick up [ITEM/PACKAGE/PRESCRIPTION]
☐ Represent me in [MATTER]
☐ Conduct business transactions
☐ Receive information about my account
☐ Other: [Specify purpose]
SCOPE OF AUTHORIZATION:
This authorization is granted for the following specific purpose(s):
[Describe in detail what the authorized person is allowed to do. Be specific to avoid misuse.]
1. [Specific action authorized]
2. [Specific action authorized]
3. [Specific action authorized]
AUTHORIZATION DETAILS:
Authorized Person's Information:
Full Name: [AUTHORIZED PERSON'S FULL NAME]
Relationship to Me: [Spouse/Child/Attorney/Agent/etc.]
Phone: [PHONE NUMBER]
Address: [ADDRESS]
ID Type: [Driver's License / Passport / State ID]
ID Number: [ID NUMBER] (last 4 digits: [XXXX])
My Information (Authorizing Person):
Full Name: [YOUR FULL LEGAL NAME]
Date of Birth: [DATE OF BIRTH]
Address: [YOUR ADDRESS]
Phone: [YOUR PHONE]
Account/Reference #: [IF APPLICABLE]
ID Type: [Driver's License / Passport / State ID]
ID Number: [ID NUMBER] (last 4 digits: [XXXX])
DURATION OF AUTHORIZATION:
This authorization is valid:
☐ For a single use on [DATE]
☐ From [START DATE] to [END DATE]
☐ Until revoked in writing
☐ For [NUMBER] days from the date of this letter
LIMITATIONS:
This authorization does NOT include permission to:
☐ [Limitation 1 - e.g., Access financial accounts]
☐ [Limitation 2 - e.g., Make purchases]
☐ [Limitation 3 - e.g., Sign contracts]
IDENTIFICATION REQUIREMENT:
The authorized person will present the following identification when acting on my behalf:
☐ Valid driver's license
☐ Valid passport
☐ State-issued ID card
☐ Copy of this authorization letter
☐ [Other identification]
CONTACT FOR VERIFICATION:
If you need to verify this authorization, please contact me at:
Phone: [YOUR PHONE NUMBER]
Email: [YOUR EMAIL]
Best time to reach me: [TIME]
REVOCATION:
I reserve the right to revoke this authorization at any time by providing written notice to [ORGANIZATION NAME].
ACKNOWLEDGMENT:
I understand that I am responsible for any actions taken by the authorized person within the scope of this authorization. I confirm that the information provided in this letter is true and accurate.
Sincerely,
_________________________
[Your Signature]
[Your Printed Name]
[Date Signed]
---
WITNESS (if required):
I witnessed the signing of this authorization letter.
Signature: _________________________
Printed Name: _________________________
Date: _________________________
---
NOTARIZATION (if required):
State of ____________
County of ____________
On this ___ day of ____________, 20___, before me personally appeared [YOUR NAME], known to me to be the person whose name is subscribed to this instrument, and acknowledged that they executed the same for the purposes therein contained.
Notary Public: _________________________
Commission Expires: _________________________
[NOTARY SEAL]
---
AUTHORIZED PERSON'S ACKNOWLEDGMENT:
I, [AUTHORIZED PERSON'S NAME], acknowledge that I have read and understand the scope and limitations of this authorization.
Signature: _________________________
Date: _________________________
---
NOTES:
• Keep a copy of this letter for your records
• The authorized person should carry a copy and valid ID
• Some organizations require notarization for certain authorizations
• Consider limiting the duration and scope to prevent misuse
Need to mail this with tracking? The Letter Pilot handles postage, tracking, and Certified Mail options online.
How to Use This Authorization Letter Template
- Customize the placeholders. Replace every bracketed field with the sender, recipient, date, account, address, amount, or case details that apply.
- Review requirements. Check the contract, agency instructions, court rule, state law, or recipient policy before sending.
- Attach supporting copies. Include copies of relevant notices, receipts, records, photos, invoices, or forms when they strengthen the letter.
- Keep your records. Save a copy of the completed letter and any attachments before mailing.
- Send with tracking when it matters. Use Certified Mail or another tracked service when timing, proof of delivery, or dispute documentation matters.
Mailing and Recordkeeping Tips
- - Keep the tone direct, factual, and professional.
- - Use copies of supporting documents unless originals are specifically required.
- - Save the completed letter, attachments, mailing receipt, and tracking number together.
Authorization Letter Template FAQ
How do I write an authorization letter giving permission on my behalf?
Start by naming yourself, the person you are authorizing, and the exact action they can take on your behalf. Add any account or reference number, set a start and end date, list ID requirements, and sign the letter. For important authorization letters, mail a signed copy and keep proof of delivery.
What is an authorization letter?
An authorization letter grants another person permission to act on your behalf for a specific purpose. It creates a written record of the authorization and defines its scope and limitations.
When do I need an authorization letter?
Common situations include: picking up documents or packages, accessing account information, representing you at meetings, collecting payments, signing documents when you cannot be present, or making decisions on your behalf.
Does an authorization letter need to be notarized?
It depends on the purpose and the organization receiving it. Some banks, hospitals, and government offices may require a notarized authorization letter. Legal documents, financial transactions, and real estate matters often require notarization. Always check with the organization to confirm their specific requirements.
What is the difference between an authorization letter and a power of attorney?
An authorization letter is typically for a specific, limited purpose. A power of attorney is a broader legal document that grants ongoing authority to make legal, financial, or healthcare decisions.
How long is an authorization letter valid?
You should specify the validity period. It can be for a single use, a specific date range, or until revoked. If no duration is specified, organizations may only accept it for a limited time.
Can I revoke an authorization letter?
Yes. Provide written notice to the organization and, ideally, to the authorized person. Keep a copy of the revocation notice for your records.
Note: For legal, financial, or healthcare matters, consult an attorney about whether a more formal power of attorney is needed.
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Customize this template, then continue to online mailing with tracking.