Insurance Authorization Letter Template for Indonesia

1. Medical Information Access: Authorization for access to medical records and information, used when the insurance involves health coverage

2. Financial Authority Limits: Specific monetary limits on the authorized party's decision-making power, used when financial restrictions are needed

3. Emergency Contact Information: Additional contact details for urgent situations, included when dealing with health or life insurance

4. Revocation Clause: Specific terms for how the authorization can be revoked, included when the authorizer wants explicit revocation terms

5. Language Declaration: Statement about the governing language if the letter is bilingual, used when multiple language versions are provided

1. Identity Documents: Copies of official identification documents of both authorizer and authorized party

2. Insurance Policy Details: List of relevant insurance policy numbers and types covered by the authorization

3. Medical History Summary: Summary of relevant medical history if required for health insurance purposes

4. Witness Information: Details and identification documents of witnesses to the authorization