[Your Organization's Letterhead, if applicable]

[Your Organization's Name]

[Your Organization's Address]
[City, Barangay]
[Date]

[Barangay Captain's Name]

[Barangay Address]
[City, Barangay]

Subject: Authorization for Receiving Cash Assistance

Dear [Barangay Captain's Name],

I, the undersigned, [Your Full Name], residing at [Your Address], hereby authorize [Authorized Recipient's Full Name],
residing at [Recipient's Address], to receive the cash assistance provided by the Barangay on my behalf.

I am unable to personally claim the cash assistance due to [provide a brief reason, if necessary, such as illness, work
commitments, etc.]. Therefore, I am entrusting [Authorized Recipient's Full Name] to act on my behalf, including signing
any necessary documents and receiving the funds on the designated date.

Details of the cash assistance are as follows:

Amount: [Specify the amount if known]

Purpose: [Specify the purpose, if applicable]
I understand that by providing this authorization, I release the Barangay and its officials from any liability associated with
the release of the cash assistance to [Authorized Recipient's Full Name].

I have attached a copy of my valid identification for verification purposes.

I appreciate your understanding and cooperation in this matter. Please do not hesitate to contact me at [Your Contact
Number] or [Your Email Address] if any further information is required.

Thank you for your prompt attention to this authorization, and I trust that the cash assistance will be handled
responsibly.

Sincerely,

[Your Full Name]

[Your Signature]