Bank Authorization Letter Template
Use this sheet when you need to give a bank or utility company written permission to speak with someone else about your account. It includes your name and address, the date, the bank or utility name and address, a reference to the account using the last 4 digits only, and a statement authorizing a named person to discuss the account, request statements, or arrange a meter reading for a set date range. It also includes a clear note that the authorization does not allow withdrawals, transfers, or changes to account ownership.

Free printable · PDF
- 1 page
- US Letter — choose “Fit to page” for A4
- PDF, 51 KB
Free for personal, family and classroom use.
Fill in the blanks, add your signature and date, then print or save the letter as needed. Keep full card numbers, PINs, and passwords off the page. Some banks may still ask for their own form or a power of attorney.
Good for
- Authorize a relative to call your bank
- Request utility account statements for someone else
- Approve a meter reading appointment
Tip: Print single-sided and keep a copy with the date signed.
8 files · DOCX, PDF
Get every sheet: Authorisation Letter Templates
This sheet plus 7 more in one download, with the editable Word files. Seven editable authorisation letters — general, document collection, parcel collection, child pick-up, bank or utility, vehicle use and revocation — with a guidance sheet.
$5.00 USD, one-time 8 files · about $0.63 each
- Instant download
- 7-day refund
- Secure checkout by Stripe
7-day money-back guarantee. Full refund within 7 days of purchase, even after you download.
More free printables
General Authorisation Letter Template1 page · free PDF
Document Collection Letter Template1 page · free PDF
Parcel Collection Letter Template1 page · free PDF
Vehicle Use Authorisation Letter Template1 page · free PDF
Child Pick-Up Authorisation Letter1 page · free PDF
Revocation of Authorisation Letter1 page · free PDF