Embassy Third-Party Authorization Request

Embassy Third-Party Authorization Request
Request an official letter to authorize a third party for embassy-related matters.
Applicant's Full Name
First NameLast Name
Applicant's Email Address
example@example.com
Applicant's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Applicant's Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Full Name of Authorized Third Party
First NameLast Name
Relationship to Applicant
Purpose of Authorization
Requested Validity Period for Authorization
MonthDayYear
Date
Upload Supporting Documents (e.g., proof of relationship, applicant's ID copy)
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Additional Information or Special Instructions
Applicant's Signature
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Should be Empty: