Authorized Representative Form

This authorization allows the named representative to act on your behalf in a number of ways. Please review the instructions on the form for full details.

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Authorized Representative Form - English
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Authorized Representative Form - Spanish
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Authorized Representative Form - Chinese
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Authorized Representative Form - Korean
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Authorized Representative Form - Armenian
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Authorized Representative Form - Russian
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Authorized Representative Form - Tagalog
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Authorized Representative Form - Vietnamese
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Authorized Representative Form - Farsi
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Authorized Representative Form - Khmer/Cambodian
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Authorized Representative Form - Arabic

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