Authorization Letter, Sample & Format

Authorization LetterAn authorization letter is written to allow one party to perform a task on behalf of another party who may not be free or physically present to perform the required task. The authorization letter will need to contain important identity information before the bearer is allowed to perform the task.


Jane Menon

27 Steele Avenue
Burr Ridge, IL 61257

March 25, 2010


Ryan Thames

Processing Officer

United Bank

2173 Forest Street
Nashville, TN 37027

Dear Mr. Thames

RE: Authorization Letter

I, Jane Menon, am authorizing Ms. Hannah Menon, my sister to withdraw one thousand dollars ($1000.00) from my savings account (SA no.: 7-390-2938) on my behalf as I am hospitalized. Her social security number is HN-029-3929-499.

Attached are copies of the medical reports of my current condition that does not permit me to make the withdrawal personally. I need the amount to settle my hospitalization fees.  You may contact me at this cell number (019280340) for further clarification. Please send a copy of the approved transaction to my home for future verification.

Thank you for your kind cooperation. I shall release all liability from United Bank on this matter after it complies with my request.

Yours Sincerely,

Jane Menon

Social security number: JH-308-2038-874

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