AUTHORIZATION TO RELEASE CONFIDENTIAL INFORMATION

0
561

 

Date —————————————————————————————————————- To —————————————————————————————————————- —————————————————————————————————————-

Dear
————————————————–
I hereby authorize and request you to send copies of the following documents which I believe to be in your possession and which contain confidential information concerning me to:
Name
————————————————–
Address
—————————————————
—————————————————
—————————————————
Documents: —————————————————————————————————————- —————————————————————————————————————- —————————————————————————————————————-
I shall of course reimburse you for any reasonable costs incurred by you in providing the requested information.

Yours sincerely

Name ————————————————– Address ————————————————— ————————————————— —————————————————

SHARE

LEAVE A REPLY

Please enter your comment!
Please enter your name here

*