Authorization Letter for an Insurance Claim - sample
Manchester
Date: 06/10/2026
To
The Branch Manager
City Bank, High Street, Manchester
Subject: Authorization Letter for an Insurance Claim
Dear Sir or Madam,
I, Maria Garcia, holder of National ID card no. AB1234567, residing at 45 Park Road, Manchester M1 4AB, hereby authorise Carlos Garcia (my brother; National ID card no. CD7654321) to act on my behalf for the following purpose:
To submit the claim documents and receive communication and claim payment advice for insurance policy no. POL-889120, and to sign the claim forms and receipts. The claim amount is to be paid to my own bank account.
Valid until: 06/10/2026
I accept everything the authorised person lawfully does under this authorisation in this matter, and I request you to extend full cooperation to Carlos Garcia.
Yours faithfully,
Maria Garcia
Specimen signature of the authorised person: ____________