# Authorization to act on my behalf (data removal)

I, **{full_name}**, authorize the operator of this tool to act as my agent for the limited purpose of
removing my personal information from data brokers and people-search websites, including submitting
opt-out, deletion, and do-not-sell/share requests under applicable privacy laws (e.g. CCPA/CPRA,
GDPR) on my behalf.

This authorization is limited to data removal. It does not authorize any other use of my information.

- Full name: {full_name}
- Date: {date}
- Signature: ______________________________

Store the signed copy at the path recorded in the dossier `consent.authorization_artifact`. Required
only when `consent.method` is `written_authorization` or `poa` (not for `self`).