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Authorization Letter For Insurance Claim
"I need an Authorization Letter for Insurance Claim to allow my sister Jane Smith to handle my medical insurance claim while I'm overseas for work from January 2025 to June 2025, specifically for Policy Number MED-123456 with Prudential Singapore."
1. Date: Current date of the authorization letter
2. Authorizer Details: Full name, NRIC/Passport number, address, and contact information of the person giving authorization
3. Authorized Party Details: Full name, NRIC/Passport number, and contact information of the person/entity being authorized
4. Insurance Policy Details: Policy number, type of insurance, and insurer's details
5. Scope of Authorization: Specific actions and powers being authorized
6. Duration of Authorization: Validity period of the authorization
7. Signature Block: Space for authorizer's signature and date
1. Witness Details: Details and signature of witness, used when additional verification is required
2. Claim Details: Specific information about the claim, used when authorization is for a specific claim rather than general authorization
3. Revocation Clause: Terms for revoking the authorization, used when specific revocation conditions are needed
1. Copy of Authorizer's ID: Photocopy of NRIC/Passport for verification purposes
2. Insurance Policy Document: Copy of relevant insurance policy pages
3. Supporting Medical Documents: If authorization is for medical insurance claims
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