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1. Date and Place: Current date and place where the letter is being written

2. Authorizing Party Details: Full name, date of birth, current address, and contact information of the person giving authorization

3. Authorized Party Details: Full name, date of birth, current address, and contact information of the person being authorized to obtain the birth certificate

4. Subject of Certificate Details: Full name and date of birth of the person whose birth certificate is being requested (if different from authorizing party)

5. Purpose Statement: Clear statement of the specific purpose for which the authorization is being granted

6. Scope of Authorization: Specific details about what actions are being authorized (obtaining copies, certified copies, etc.)

7. Duration of Authorization: Time period for which the authorization is valid

8. Declaration of Authority: Statement confirming the authorizing party's legal right to grant this authorization

9. Signature Block: Space for signature, printed name, and date for the authorizing party

1. Identity Document Copies: Copies of valid identification documents for both authorizing and authorized parties

2. Proof of Relationship: Documents proving relationship to the subject of the birth certificate if requesting on behalf of another person

3. Legal Custody Documents: Required when authorization involves a minor's birth certificate and is given by a legal guardian

4. Previous Correspondence: Any relevant previous correspondence with civil registry offices regarding this matter