Collection Authorisation form .pdf
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Original filename: Collection-Authorisation-form.pdf
Title: Collection-Authorisation-form
Author: Adrian Apollo
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Collection Authorisation
For items NOT requiring your personal signature, you are able to authorise collection
on your behalf.
The person you have authorised to collect this item (‘agent’) must present the following:
• the collection notification,
• a completed copy of this authorisation and
• a valid photo identification.
Please note that some senders may require in-person collection by the addressee only,
in which instance the collection authorisation option cannot be used.
Print this form and complete the details below.
Date:
4/28/17
Name of Agent:
(BLOCK LETTERS)
Signature of Agent:
Name of Addressee:
(BLOCK LETTERS)
Signature of Addressee:
Nora NIghtshade

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