Purpose: This certificate authorizes a named emergency contact as an approved visitor for the individual listed. Fill in all required fields to generate the printable certificate.

Individual details

Full name

Oliver Serrano

Emergency contact details

Full name

Amy Castellano

Relationship *

Authorization details

Date of issue *

This certificate is valid for 30 days from the date of issue and will automatically expire thereafter.

Approving authority name *

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CBRE

Emergency Contact Authorization Certificate

Authorization Certificate

Emergency Contact & Authorized Visitor Designation

This document certifies that has been designated as an approved emergency contact and authorized visitor for . The holder may request visitation access in accordance with facility policies and procedures. This authorization remains valid unless revoked by the individual or the organization.

Individual

Emergency contact

Relationship

Authorization reference

Date of issue

Valid until

Signature of approving authority

Official seal

Signature of emergency contact

Amy Castellano