Transcription of Letter of Authorization - State
1 Letter of Authorization Principal Applicant ( ): _____ Case Number ( ): _____ Today s Date ( ): _____ ,_____, ( ) _____, _____, ( ) ( ) _____ Complete the Letter of Authorization below with your name and the name of the person who will pick up your passport on your behalf.
2 The person picking up your passport must bring authentic identification with them to prove their identity. I, _____, authorize and request that my _____, (your name) (relationship) _____, receive my passport and visa from the Embassy on my behalf. (name of recipient) Signed _____
