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APPENDIX C Designation of Authorized Representative

APPENDIX C Designation of Authorized Representative

policies.ncdhhs.gov

act for you on matters related to this application, including getting information about your application and signing your application on your behalf. This person is called an “authorized representative.” If you ever ... Name of Applicant/Beneficiary ...

  Applications, Beneficiary, Authorized, Representative, Designations, C designation of authorized representative

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