Sample Company Signature Authorization Letter

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SAMPLE COMPANY SIGNATURE AUTHORIZATION LETTER
INSERT [DATE]
MARYLAND PORT ADMINISTRATION (MPA)
OFFICE OF SECURITY
2700 BROENING HIGHWAY
BLDG. 97B, SUITE 203
BALTIMORE, MD 21222
RE: COMPANY SIGNATURE AUTHORIZATION
Dear MPA Director of Security,
The individuals below are authorized to sign for all matters relating to Maryland Port Administration
security requirements as deemed necessary for compliance with Federal, State and/or local regulations
applicable to your company employees.
COMPANY OFFICERS/MANAGERS/SUPERVISORS/FACILITY SECURITY OFFICERS
Name: __________________________ Signature:_______________________ Title:_______________
(Printed Name)
Name: __________________________ Signature:_______________________ Title:_______________
(Printed Name)
Name: __________________________ Signature:_______________________ Title:_______________
(Printed Name)
President, CEO or Executive Director: ______________________________________________________
(Print Name)
E-Mail Address: ______________________________________
Signature: __________________________________________
Date: _____________________
***Please note: Letter must be submitted on company letterhead and either mailed or E-mailed to the
Office of Security. E-mail:
.

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