Regulated Ontario commissioning · Online or in person, across Ontario
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Consent / authorization letter

Authorize another person to act or receive information on your behalf.

When to use this

A general letter authorizing a named person or organization to act, collect documents, or receive information for you.

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LETTER OF AUTHORIZATION

Date: [date]

To whom it may concern:

I, [full legal name], of [address, city], Ontario, authorize [authorized person or organization] to [specific authority — e.g. collect, sign for, submit, or receive information about] on my behalf in relation to [matter or account].

This authorization takes effect on [date] and remains valid [until date / until revoked by me in writing].

You may rely on this letter as my written authorization. If you require anything further, I can be reached at [phone] and [email].

____________________________            ____________________
Signature                                            Date

Declared before me at the City of [city], in the Province of Ontario, this [day] day of [month], [year].

____________________________
A Commissioner for Taking Affidavits in and for Ontario

Unfilled details stay as [bracketed prompts]. Do not sign yet — sworn, affirmed or witnessed documents must be signed in front of the commissioner during your appointment. General information, not legal advice; acceptance is up to the receiving institution.

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