Letter of Authorization

Loan #

Multi-line address

Country/Region

Address

City

Zip / Postal code

Insurance Company:

Insurance Claim Number:

Date

Month

Day

Year

To Whom It May Concern,

We hereby give

Name

authorization to discuss our insurance claim matters directly with our general contractor, WYGTC Florida Mold Busters for the repairs to our home located at

Address

This authorization relates to the insurance claim construction process and proceeds only.

Signature #1

Signature field is empty.

Full Name of signer #1

Signature #2

Signature field is empty.

Full Name of signer #2

Any other borrower(s) on the loan

Signature field is empty.

Full Name of additional borrower