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22 a to be the signatory for NPDES permit applications and I am appointing the following individuals or named positions to act as Duly Authorized Representatives in accordance with 40 CFR 122. Oregon Department of Environmental Quality NPDES Duly Authorized Representative Form Permittee Legal Name DEQ Facility/File ID Facility Common Name DEQ Permit I hereby certify that I am qualified under 40 CFR 122. 22 b. Name w/Position Title or Position Title Telephone Email I understand that if this...

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How to fill out duly authorized representative:

01

Make sure to include the full legal name of the person you are authorizing as your representative.

02

Provide the representative's contact information, including their phone number and email address.

03

Clearly state the purpose or scope of the authorization, specifying what actions or decisions the representative is authorized to make on your behalf.

04

Sign and date the form to validate the authorization.

05

If required, provide any additional supporting documentation or identification that may be requested.

Who needs a duly authorized representative:

01

Individuals who are unable to personally attend to certain matters due to physical or mental disabilities may need a duly authorized representative to act on their behalf.

02

Minors who are unable to make legal decisions on their own behalf may require a duly authorized representative.

03

Individuals who may be incapacitated or unavailable for a temporary period, such as during a medical procedure or overseas travel, may appoint a duly authorized representative to handle their affairs.

Note: It is essential to consult with legal professionals or refer to specific guidelines provided by relevant authorities to ensure the correct process and requirements are followed when appointing a duly authorized representative.

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What is duly authorized representative?

A duly authorized representative is an individual or entity that has been given the legal authority to act on behalf of another party in a specific matter.

Who is required to file duly authorized representative?

The party that is appointing the representative is required to file the duly authorized representative.

How to fill out duly authorized representative?

The duly authorized representative form usually requires the representative's name, contact information, and a description of the scope of their authority.

What is the purpose of duly authorized representative?

The purpose of appointing a duly authorized representative is to allow someone to act on your behalf in legal or business matters.

What information must be reported on duly authorized representative?

The information required may vary, but typically includes the representative's name, contact details, and the specific powers granted to them.

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