YOUR ADDRESS HERE

CSA ADDRESS HERE

DATE:

Dear Sir,

Reference Number:

I, __________________________________ give full authority for the National Association for Child Support Action (NACSA) to fully represent my case with the Child Support Agency.

I permit NACSA to deal with all aspects of my case, and discuss all relevant issues. My permission also extends to allowing data protection files to be discussed, viewed or applied for if requested.

Please keep this letter on your files until further notice.

Yours faithfully

YOUR NAME HERE