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Authorization Letter: (Complete Name of Representative)

The document appoints [Representative's Name] as the authorized representative of [Planholder/Beneficiary's Name] to claim insurance proceeds or maturity benefits from Philplans First, Inc. Specifically, the representative is authorized to (1) claim the specified benefits directly from the company, (2) sign pertinent documents on behalf of the planholder/beneficiary, and (3) perform other necessary acts to implement the instructions. The planholder/beneficiary grants full power and authority to the representative and holds them harmless from any liabilities that may arise from faithfully performing the authorized acts.

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Jessa Mae Solivio Luza
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743 views1 page

Authorization Letter: (Complete Name of Representative)

The document appoints [Representative's Name] as the authorized representative of [Planholder/Beneficiary's Name] to claim insurance proceeds or maturity benefits from Philplans First, Inc. Specifically, the representative is authorized to (1) claim the specified benefits directly from the company, (2) sign pertinent documents on behalf of the planholder/beneficiary, and (3) perform other necessary acts to implement the instructions. The planholder/beneficiary grants full power and authority to the representative and holds them harmless from any liabilities that may arise from faithfully performing the authorized acts.

Uploaded by

Jessa Mae Solivio Luza
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Authorization Letter

I, ___________________________________________, _________________ of legal age, have named, constituted


(Name of Planholder/Beneficiary) (Indicate Nationality)

appointed and, by these presents, name, constitute and appoint _________________________________________,


(Complete name of Representative)

my __________________________________, to be my authorized representative to perform the following:


(Relationship of the Planholder to the Representative)

1. to claim my benefit check / insurance proceeds under ______________________________ (the “Original


Plan”) in the amount of ____________________________________________ (Php ________________)
(the “Maturity Benefit” / “Insurance Proceeds” / “Plan termination / Pre-maturity benefit”) directly from
Philplans First, Inc (the “Company”);

2. to transact and sign in my behalf any pertinent documents and acknowledgement receipt of the Company
and

3. to do and perform such other acts and to execute such documents as may be necessary, proper or
convenient to fully implement my instructions above.

I hereby grant unto my attorney-in-fact full power and authority to perform the foregoing acts as fully and to all
intents and purposes as I could do if personally present, with power of substitution and revocation.

I hereby ratify and confirm all that my said attorney-in-fact shall lawfully do or cause to be done under and by
virtue of this Special Power of Attorney.

I hereby hold my attorney-in-fact free and harmless from any and all liabilities, losses, claims, damages or
actions that may arise or it may incur as a result of its faithful performance of the instructions/ acts enumerated
above.

I have hereunto signed this Authorization Letter this _____ day of ____________________________ in
______________________

________________________ ______________________________
Authorized Representative Planholder’s Name/ Beneficiary’s Name
(signature over printed name) (signature over printed name)

Important:
1. This Authorization letter is just a template. The Planholder/Beneficiary/Claimant may add information but not to delete the
required and highlighted fields.
2. This SPA must be accomplished by the Planholder or Beneficiary for deceased Planholder.

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