Appointment of representative
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CONSENT TO APPOINTMENT OF PERSONAL …
registers.maryland.govCONSENT TO APPOINTMENT OF PERSONAL REPRESENTATIVE DATE SIGNATURE NAME (typed or printed) Address Telephone Number Attorney I, , the personal representative named in , ask the court or register to appoint (state name and relationship to decedent or other basis for appointment) instead of me to serve as personal representative. I consent to that ...
PC 558, Application for Informal Probate and/or ...
www.courts.michigan.govThe appointment of a special personal representative pending the appointment of the nominated personal representative. I declare under the penalties of perjury that this application has been examined by me and that its contents are true to the
(DO NOT WRITE IN THIS SPACE) APPOINTMENT OF …
www.vba.va.gov16A. NAME OF OFFICIAL REPRESENTATIVE ACTING ON BEHALF OF THE ORGANIZATION NAMED IN ITEM 15 (This is an appointment of the entire organization and does not indicate the designation of only this specific individual to act on behalf of the organization) 16B. JOB TITLE OF PERSON NAMED IN ITEM 16A. 17. EMAIL ADDRESS OF THE ORGANIZATION NAMED IN …
(DO NOT WRITE IN THIS SPACE) APPOINTMENT OF …
www.vba.va.govThe appointment of the individual named in Item 15A (the representative) authorizes that person to represent the individual named in Item 1 or 10 for a particular claim pursuant to the provisions of 38 CFR 14.630.
Appointment of Representative - Centers for Medicare ...
www.cms.govAppointment of Representative Name of Party Medicare Number (beneficiary as party) or National Provider Identifier (provider or supplier as party) Section 1: Appointment of Representative To be completed by the party seeking representation (i.e., the Medicare beneficiary, the provider or the supplier):
Appointment of Authorized Representative Part A: Tell us ...
www.dhcs.ca.govAppointment of Authorized Representative 1 . M. C 382 (6/18) Use this form to appoint an individual or organization as your Medi-Cal authorized representative. Your authorized representative may act for you on all duties related to your Medi-Cal eligibility and enrollment. Or, you may also limit duties. You may cancel or change this appointment at
Appointment of Taxpayer Representative, Form M-5008-R
www.state.nj.usAppointment of Taxpayer Representative 1. Taxpayer Information Use this form to designate a representative(s) and grant the representative(s) the authority to obligate, bind, and/or appear on your behalf before the New Jersey Division of Taxation. Section 3 of the form allows you to list which tax matters your representative is
![APPOINTMENT OF HEALTH CARE [AGENT] REPRESENTATIVE](/cache/preview/c/9/a/8/4/6/9/2/thumb-c9a846921332826083cb8fd354015b67.jpg)
APPOINTMENT OF HEALTH CARE [AGENT] REPRESENTATIVE
portal.ct.govappointment of a health care representative by the author of this document; that the author subscribed, published and declared the same to be the author's instructions, appointments and designation in our presence; that we thereafter subscribed the document as witnesses in the