Consent / authorization letter

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

Don't sign it yet. Bring the completed, unsigned document to your session — the commissioner watches you sign.