The Duly Authorised Officer letter must first be copied onto your business letter head.
Dear Health eSignature Authority,
This is to authorise that __________________________________ (New DAO Name)
will act as the Duly Authorised Officer on Behalf of the Health Sector Entity
_________________________________________ (HSE Legal name), in relation to
The Healthcare Location situated at:
Trading Name
__________________________________________________
Street Address
__________________________________________________
Town/Suburb STATE Post Code
__________________________________________________
Signature of the HSE Representative
Signature of DAO
_____________________________
HSE Rep Name
___________________________
DAO Name
Position:
Date: