A Letter of Authorization authorizes payment for medical services received over 12 months before the current month. This Authorized Representative form is enclosed for this purpose.If you want to authorize someone to represent you at the hearing, please complete this form. Most are State Court (Judicial Council) forms. There are also links to local forms, and some sample forms. Write briefly about your background and your family (i.e. , Are you the first to go to college in your family?) Why did you choose Santa Clara University? Which Type of Authorization are you requesting? For schools and special districts, contact the Registrar of Voters. SCFHP staff treated you poorly.