Authorization from Employer to Permit Employee to Remove Certain Articles AUTHORIZATION [DATE, ex. Wednesday, June 11, 1998] To Whom It May Concern: The undersigned, employer, hereby authorizes [NAME OF EMPLOYEE] to remove the following articles from our premises on [DATE OF REMOVAL OF ARTICLES]: [DESCRIPTION OF ARTICLES] This shall be your good and sufficient authority […]
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Posts tagged with 'Authorization'
Sample Authorization to Release Medical Records Letter
Authorization to Release Medical Records MEDICAL AUTHORIZATION TO: [NAME OF DOCTOR] RE: [NAME OF PATIENT] You are hereby authorized and directed to furnish to [NAME AND ADDRESS OF RECIPIENT OF MEDICAL RECORDS] copies of any clinical notes and medical records prepared by you relating to the above patient. You are requested not to disclose any […]
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Sample Authorization to Debit Account Letter
AUTHORIZATION TO DEBIT ACCOUNT [DATE, ex. Wednesday, June 11, 1998] [NAME, Bank AND ADDRESS, ex. John Smith XYZ Bank 1234 First Street Suite 567 Anycity, Anystate 85245] Dear [NAME, ex. John Smith], You are hereby authorized and directed to debit our account no. [ACCOUNT NUMBER, ex. 12345678] in the amount of [AMOUNT OF DEBIT, ex. […]
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