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THE GOOD SI EPHE RD UNITED CHURCH OF CHRIST I s ('i. Authorization Form UCC800035 ', fifth 'f I DONOR# FOR OFFICE USE ONLY a WI), DATE Effective date of authorization: Type of Authorization 0 0 0
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Indicate the purpose of the authorization form agt by selecting the appropriate option. This could be for tax purposes, medical records access, or any other valid reason.
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Individuals who want to authorize someone else to act on their behalf for specific purposes.
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It is a form required for authorization purposes.
Anyone seeking authorization is required to file the form.
The form can be filled out online or in person at the designated office.
The purpose is to grant authorization for a specific reason or action.
Personal information, reason for authorization, and any relevant details.
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