Authorization for designated person to

collect keys

If you are unable to collect the keys yourself, the person you designate must have this
signed authorizationfrom you. The person designated must also show ID.

Authorizer (tenant)
First name_________________________ Surname_________________________
Personal Identification No_________________________
Apartment No_________________________
Address_______________________________________________________________
Telephone _________________________ Cell phone_________________________

Person authorized to collect key (designated person)

First name_________________________ Surname_________________________
Personal Identification No_________________________
Address_______________________________________________________________
Telephone _________________________ Cell phone_________________________

I hereby authorize the above named designated person to collect the keys to my
apartment. I am aware that after the keys have been collected they are my responsibility
even during the time they are in the possession of the person designated by me to collect
them.
Signature (contract holder)
____________________________________
The above signature witnessed by two people
Place and date__________________________ Place and date_______________________________
Signature_______________________________

Signature _____________________________________

Clarification of signature_______________ Clarification of signature _____________________

Receipt of keys to the above mentioned apartment is hereby acknowledged.
Gothenburg / - Signature (designated person)______________________________________
Chalmers Studentbostder
Gibraltargatan 82, 412 79 Gteborg. T 031-772 97 00, F 031-772 97 99
Info@chalmersstudentbostader.se, www.chalmersstudentbostader.se