Name

Address
Location
Contact No.

To,
Whom it may concern
Address
Location

Subject: _________

Dear Sir/Madam,

I, (Name) need my (mention any important document for example, birth

certificate) for official purpose. I authorize, Mr/Ms. (Name) to collect
this document on my behalf as I am unable to attend your office due to
(XYZ) reason. I have no objection on Mr/Ms. (Name) signing the
required documents in my absence.

Yours Sincerely,
Name

Related: Sample Authorization Letters to Receive Documents

Sample Authority Letter for the Collection of Documents

Given below is a sample with a template for the authorization letter to
collect documents:

Name
Address
Location
Contact No.
 To,
Whom it may concern
Address
Location

Subject: _________

Respected Sir/Madam,

I,__________ hereby authorize Mr/Ms __________ to collect the

following documents in my absence as I am unable to attend due to
unforeseen circumstances.

1. Birth Certificate
2. Certificate of Domicile

I have no objection in Mr/Ms __________ signing the required letters in

my absence and he/she can collect the copies of the above-mentioned
documents from the office.

Yours Sincerely,
Name
(Your name)
(Your Address (Street Information))
(City, State, and Zip Code)

(Date)

(Recipient’s Name (third party))

(Recipient’s Address (Street Information))
(City, State, and Zip Code)

To whom it may concern,

I, (Your name) hereby fully authorize (representative’s name) to pick up and receive (thing
they are picking up), a personal package, in my behalf. I give full authorization to collect it
and make any other decisions in order to ensure the safety of my package in the time being.

My representative has been given authorization valid from (starting date of authorization) to
(ending date of authorization), keeping the package on my behalf as I am unavailable and
cannot be reached until further notice (can change to specific reason of why you’re
unavailable).

My representative and the proxy cannot make any other decisions surpassing the points
disclosed in this letter.

Thank you very much,

Sincerely,
(Your name)
(Handwritten signature)
(Handwritten date)