Free Representative Authorization Letter Template
Representative Authorization Letter
November 25, 2050
Kenneth Johnson
Facility Manager
700 Plantation Drive,
Richmond, TX 77406
Dear Mr. Johnson,
I trust this authorization letter reaches you in good health. I, Michael Sanchez, am writing to formally grant my brother, Kevin Sanchez, the authority to act as my representative in all matters about my professional records.
As my representative, Kevin Sanchez is authorized to access and review all records related to my professional activities. He is also authorized to obtain any pertinent information for handling matters. Lastly, he is authorized to disclose information to parties as needed in the course of representing my interests
This authorization is effective immediately and will remain in force until further notice. I acknowledge my right to revoke this authorization at any time by providing written notice of my intent to both you and Kevin. I believe in Kevin's ability to responsibly handle these matters on my behalf.
Should you have inquiries or require additional information, please do not hesitate to contact me. Your understanding and cooperation in facilitating a seamless process are greatly appreciated. Thank you very much for your attention to this matter
Sincerely,
Michael Sanchez
