Letter Of Authorization

Authorization To Transport Passport/Visa Documents

I: ____________________ authorize A Rush Passport & Visa Inc.

and any of their agents or designated personnel such as:

_________________________________________________________

to transport legal documents that are required to obtain a passport / visa for myself

or any of my minor children. (List children’s names below)

I employ A Rush Passport & Visa . to act as my Proxy/Agent on My behalf.

I hereby grant permission to A Rush Passport & Visa to discuss my passport/visa

Information and to pick up my passport/visa documents when finished.

I understand that A Rush Passport & Visa is not responsible for delays in processing

And will not be held liable for delays in processing.

Signature______________________________ Date of Birth _____/______/______

Relationship to applicant: Self Mother Father Legal Guardian

(Circle one)