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1. Date and Place: Current date and place of writing the authorization letter
2. Authorizing Party Details: Full name, address, date of birth, and insurance number of the person giving authorization
3. Authorized Party Details: Full name, address, and relationship to the authorizing party of the person being authorized
4. Purpose Statement: Clear statement of the specific purpose - authorization to collect medical certificate
5. Scope of Authorization: Specific details about what the authorized person can do (collect, receive, sign for medical certificate)
6. Medical Provider Information: Name and address of the medical facility or doctor from whom the certificate is to be collected
7. Duration of Authority: Validity period of the authorization
8. Data Protection Statement: GDPR-compliant statement about consent to handle medical data
9. Signature Block: Space for signature of the authorizing party with date
1. Special Conditions: Any specific conditions or limitations on the authorization
2. Legal Capacity Statement: Required when the authorizing party is a minor or under legal guardianship
3. Language Declaration: Statement confirming understanding if the authorizing party isn't fluent in German
4. Revocation Terms: Terms under which the authorization can be revoked
5. Emergency Contact: Additional contact information in case of difficulties
6. Digital Authorization: Specific terms for digital submission if applicable
1. Identification Documents: Copies of ID documents of both authorizing and authorized parties
2. Insurance Card Copy: Copy of health insurance card of the authorizing party
3. Medical Facility Forms: Any specific forms required by the medical facility
4. Previous Authorization Revocation: If replacing a previous authorization, documentation of its revocation
Healthcare
Insurance
Human Resources
Legal Services
Medical Administration
Occupational Health
Education (for student medical certificates)
Public Administration
Human Resources
Legal
Compliance
Administration
Medical Records
Employee Relations
Privacy and Data Protection
Insurance Claims Processing
Benefits Administration
HR Manager
Legal Counsel
Compliance Officer
Medical Administrator
Insurance Claims Processor
Healthcare Administrator
Employee Relations Manager
Occupational Health Officer
Privacy Officer
Administrative Assistant
Personal Assistant
Benefits Coordinator
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