1. Special Instructions: Any specific instructions or limitations on how the authorized person should handle the claim or funds

2. Multiple Claims Authorization: Required when authorizing claims from multiple employers or for multiple periods

3. Revocation Clause: Statement regarding the author's right to revoke the authorization and the process for doing so

4. Indemnification: Clause protecting the employer from future claims related to the same back pay once paid to the authorized representative

5. Witness Section: Required in some jurisdictions or when additional verification is desired

1. Employment Records: Copies of relevant employment documentation proving employment relationship

2. Pay Statements: Copies of pay stubs or other documentation showing the unpaid amounts

3. Identification Documents: Copies of ID documents for both the author and authorized representative

4. Calculation Sheet: Detailed breakdown of the back pay amount being claimed, including any interest or adjustments