LETTER OF AUTHORITY TEMPLATE FOR A SPECIFIC ENQUIRY

Check that the recipient accepts a letter and follow its own consent, identity and signing requirements. Replace every bracketed instruction. This is general discussion wording, not power of attorney or a guarantee of acceptance. Delete this instruction section before sending.

Date: [date written]
To: [organisation and department]
Regarding: [specific enquiry and reference, if required]

I, [your full name], give [representative’s full name] permission to discuss the enquiry described below with you on my behalf.

Enquiry: [describe the single matter, including any relevant reference].

Please allow my representative to ask questions and receive the information necessary to discuss this enquiry, subject to your consent and identity checks.

This permission runs from [start date] until [end date]. It is limited to the enquiry above. It does not permit my representative to make payments, change account instructions, sign declarations for me, or make financial or medical decisions for me.

Please contact me if you need to confirm this permission or require a different authorisation process.

My contact details: [contact details the recipient requires]
Representative’s contact details: [contact details the recipient requires]

Signed by the person giving permission: [signature, following the recipient’s requirements]
Full name: [your full name]
Date signed: [date]