Authorization Letter Apply for Digital Signature for Organization

This is a format of Authorization Letter by an Organization in favor of one of its employees authorizing him/her to apply for Digital Signature Certificate (DSC) in the name of that Organization. The authorization may also be given in favor of more than one employees or associates.

Without a proper authorization, applying for a Digital Signature in the name of the organization would be illegal. The organization may take legal action against that employee whether he has misused the digital signature or not.

An organization follows an hierarchy of decision making authority or powers well distributed among its employees to make a clear distinction on who is to do what and what rights they have to authorize the subordinate officer to complete a work. So an officer, who has such authority, should only issue such authorization letter.

Following format of such Authorization letter to an employee to apply for DSC should be useful.

FORMAT

(Print it on the letterhead of the organization)

Authorization Letter to Apply for DSC

Ref No.: ...............
Date: ....................

To

(Name of the Digital Signature issuing authority)

(Complete Address)

(Tel. No.)

Sub.: Authorization to apply for DSC of the Organization

Dear Sir,

I am hereby authorizing the following employee of our organization to apply on behalf of the organization for a 'Digital Signature in the name of the Organization'.

Name of the Applicant: ...........................
Designation: .........................
Employee Code (if available): ................

Details of the Digital Signature to be applied for:-

  Class of Certificate: Class 2   ⃣   Class 3   ⃣  

  Type of Certificate: Signature   ⃣    Encryption   ⃣    Combo   ⃣   

  Organization Name: .........................................
  Type of Organization: Company / Partnership Firm / Proprietorship Concern

I declare and affirm that I have appropriate powers to give the authorization for the purpose herein above mentioned.

Sincerely,

For (Name of the Organization,

signature

(Name of the Authorizing Officer)                                 [Official Seal/Stamp]

Designation / Authorized Signatory

Authorization Letter for Release of Medical Records (Template)

This is an authorization from a person (patient) - who was earlier getting treated in a hospital or any medical institution. Here, authorization is given by him to another person or organization to get the medical reports related to the earlier health treatment in that hospital.

For the obvious reasons that without a signed authorization the hospital would not share such confidential information of a previous patient. The patient can provide authorization for release of whole or limited information related to his earlier health treatment.

Following template could be modified suitably as per your need.

FORMAT

Date: ................

To

(Hospital Name)

(Address)

Sub.: Authorization for release of my medical /health related information

Dear Sir/Madam,

I was a patient earlier getting treated in your hospital last year. Now I am undergoing some medical treatment in the (hospital/ medical institution name). My doctors have informed me that they would need to refer some of the medical reports from the treatment I had at your hospital previously.

Since I am unable to trace those documents at my home or anywhere else, I would kindly request you to provide them copies of the medical reports which will help me in my current treatment.

In order for you to trace my medical reports - I am providing herewith the following information for your ready reference.

Name: ............................
Date of birth: ...............
Address: ........................
Phone No.: .....................
Email id: .......................
Admitted to hospital: (date) or (month, year)
Discharged from hospital: (date) or (month, year)
Health information to be released: (all reports and tests documents) or (limited - name of the medical report only).

I hereby authorize your hospital i.e. (name) to release the medical reports as mentioned above to the (hospital/medical institution) as and when approached by them at the earliest possible after that.

I understand that these information and documents related to my health are personally identifiable protected health information and I will not hold (hospital name) responsible for any claim in future. I take full responsibility for release of such information.


This authorization will remain in force until (date). I reserve the right to revoke the authorization at any time before that upon a written notice to you.

Kindly do the needful and oblige.

Thanking you!

Sincerely,

signature

(Name of the Person/Patient)

(Sample) Authority Letter to Pick up My Medical Result Report

A person may not always be in a situation to collect his medical test's result reports from the hospital/medical institution. In that case, he can very well authorize someone else on his behalf to pick up the documents for him.

Two things could be very important here - to make it work:
(1) The person, who is authorizing, should give his self attested copy of any identity proof;
(2) The authorized person should carry his original identity proof as well as a self attested copy.

These will help the hospital/medical institution to verify the authenticity of both the person and would enable them to give the medical reports without any hesitation.

Modify the following format suitably.

FORMAT

Date: ................

From

(Name of the Person)

(Resident Address)

(Tel. No. ..............)

(Email id. ...............)

To

(Name of the Officer)

(Designation)

(Name of the Hospital/Medical Institution)

(Address, Tel. No. ............)

Sub.: Authority to collect medical results on my behalf

Dear Sir/Madam,

I had recently undergone some medical tests at your hospital/clinic as advised by my doctor. Following are my personal and tests details for your kind reference.

Name: .............................

Date of birth: ....................

Address: ............................

Medical tests done on (date)

The payment acknowledgement copy is enclosed herewith.

I am presently very sick and hence I am not in a position to visit your hospital/clinic personally to collect the report on the medical tests results done on me that day.

Therefore, I am hereby authorizing the following person who will collect the documents on my behalf.

Authorized Person's Name: ..................

Signature: ...............

He will be visiting the hospital/clinic tomorrow to collect the medical reports. Kind request to your goodself to please hand over the necessary documents and certificates to him without fail.

A copy of my identity proof self attested by me is enclosed herewith for verification purposes.

Thanking you for your cooperation!

Yours faithfully,

  signature

(Name of the Person)

Encl: A/a

Authority Letter to Pick up Collect Official Documents Template

When some documents are required to be collected from somewhere, one doesn't have to be personally available to pick it up from there unless it is a sort of a precondition on the whole arrangement.

A person or an official of an organisation can provide an authority letter whereby authorising any other person/representative to collect the documents on his/their behalf.

The authorised person should carry his identity proof during the time of collecting of documents, as the opposite party may likely to verify that.

Modify the following format appropriately to use it for your purpose.

FORMAT

(Company Authority Letter)

Ref: ..................

Date: ................

To

(Name of the Officer)

(Designation)

(Name of the Organisation)

(Address)

Sub.: Authorisation to collect documents on our behalf

Dear Mr. .............,

We are hereby authorising our representative - Mr. ............., (Designation), to collect the following documents from your office which is required to be collected by our organisation. Kindly refer to your letter to us bearing ref no. ............... dated ............. in this matter.

Signature: ...............

(Name of the Representative)

Verified by : .......................

(Name, sing and seal of the Authorizing Official)

Details of the documents: ........................

Kindly have the documents handed over to him during his visit to your office today.

Thanking you for your cooperation!

Sincerely,

  signature

(Name of the Officer)

(Designation)

FORMAT

(Personal Authority Letter)

Date: ................

From
(Name of the Person)
(Full Address)
(Contact No.)
(Email id)

To
(Name of the Officer)
(Designation)
(Name of the Organisation)
(Address)

Sub.: Authorisation to collect documents on my behalf

Dear Mr. .............,

Hope you are doing well.

Kindly refer to your letter to me by ref no. ............... dated ............ I understand the (name of documents) is ready to be picked up from your office. Unfortunately, I will be out of town for the next couple of weeks, hence, I am unable to collect the documents personally.

As those documents are needed for completing certain tasks at my end, I would like to have it collected through my representative. So that my assistants can start working on those documents as may be needed for the relevant work.

I am hereby authorising the following person who will collect the document from your office.

Name of the representative: ..................
Signature: ...............
Details of the document: ...............

Kind request to please have the documents handed over to him during his visit to your office tomorrow.

Thanking you for your cooperation!

Yours faithfully,

  signature

(Name of the Person)

Authority Letter for Submission of Passport Application Form

Authority letter is a letter from a person addressed to another person/organisation authorising someone else to do something on his behalf, as he is unable to attend to that on that particular date and time because of some other important work to be attended to.

Here, in this case, a passport applicant is authorising another person to submit his/her application form at the Passport office.

During the visit to the passport office, the representative must carry his original identity document bearing his/her photograph. This will be verified by the concerned official at Passport office during submission of application and authority letter. A copy of identity document should also be attached along with authority letter. Identity proofs viz. Driving license, social security card, taxation identity card, etc.

Please note the Authority letter can be given only in case of submission of passport application. However, on the date of appointment at Passport office for application and supporting documents verification, the applicant has to be personally present. He can not authorise anyone else for this purpose.

The format of the Authority letter is as follows. You may refer Passport office website for a specimen copy of such authority letter, if there is any prescribed format already.

FORMAT

Authority Letter

Date:.....................

To

The Passport Officer

..... Passport Office

(City name)

Dear Sir/Madam,

I am hereby authorizing Mr./Ms. ................. (Full name of the authorized representative) son/wife/daughter of ...….........., resident of ......…............., whose signature is attested below, to submit, on my behalf, my passport application form along with other original documents at the passport office.


Kind request to your goodself to accept my passport application form from the above mentioned authorized representative of mine.

Thanking you,

Yours faithfully,

  (signature)

(Name of the applicant)

Signature of authorized representative: ..................

Name of the authorized representative: ......................

Above name and signature verified by:

Signature of the applicant: .......................
Name of the applicant: .................................