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(Date)

(Company Name)
(Address)
(City, State, Zip Code)

To Whom It May Concern,

I (your name) give (company name) or any of its representatives, including (your supervisor) or any one else (company name) permission to discuss my employment problem with Greg Jones who is my representative from the Seventh-Day Adventist Church. Hopefully this will help resolve my employment issue more quickly.

Sincerely,

(your name)

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