The Authorization Letter For Medical Certificate is a crucial document in Indonesian legal and healthcare contexts, commonly used when an individual needs to delegate the authority to obtain or manage medical certificates to another person. This delegation might be necessary due to physical inability, time constraints, or geographical limitations of the principal party. The document must comply with Indonesian healthcare regulations, particularly Law No. 29 of 2004 on Medical Practice and Minister of Health Regulation No. 269/MENKES/PER/III/2008, while also adhering to data protection requirements under Law No. 27 of 2022. It typically includes detailed identification of all parties, specific scope of authorization, validity period, and necessary declarations to ensure legal enforceability within the Indonesian jurisdiction.
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1. Date and Place: Current date and location where the letter is being executed
2. Authorizer Details: Complete information of the person giving authorization including full name, ID number, address, and contact details
3. Authorized Person Details: Complete information of the person being authorized including full name, ID number, address, and contact details
4. Purpose Statement: Clear statement of the specific purpose for which the authorization is being granted regarding medical certificates
5. Scope of Authorization: Detailed description of what actions the authorized person can take regarding medical certificates
6. Duration of Authorization: Specific period for which the authorization is valid
7. Declaration of Sound Mind: Statement that the authorizer is of sound mind and giving authorization willingly
8. Signature Block: Space for signatures of authorizer, authorized person, and witnesses
1. Relationship Declaration: Statement of the relationship between authorizer and authorized person, used when relevant for medical institutions
2. Medical Facility Details: Specific healthcare facilities where the authorization can be used, included when authorization is facility-specific
3. Revocation Clause: Terms for revoking the authorization, included when the authorization period is indefinite
4. Language Declaration: Statement about the language used and any translations, needed when multiple languages are involved
5. Emergency Contact Information: Additional contact details for emergencies, included when authorization is for ongoing medical situations
1. Identification Documents: Copies of ID cards or other identification documents of both parties
2. Specific Authorizations List: Detailed list of specific medical certificates or documents that can be requested/collected
3. Witness Information: Details and identification documents of witnesses
4. Medical Facility List: List of approved healthcare facilities where the authorization is valid, if applicable
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Healthcare
Insurance
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Human Resources
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Compliance
Administration
Employee Relations
Risk Management
Corporate Secretariat
Benefits Administration
Occupational Health
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Human Resources Manager
Legal Counsel
Compliance Officer
Medical Administrator
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Employee Relations Specialist
Risk Management Officer
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Corporate Secretary
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Administrative Assistant
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