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APPENDIX E Model Certified Application Counselor (CAC) Authorization Form In Federally-Facilitated or State Partnership Marketplaces CAC Designated Organization Name and Address: CAC Designated Organization
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Appendix E Model Certified is a certification form used to declare compliance with certain regulations or requirements.
Any individual or organization that is subject to the regulations or requirements specified in the form must file Appendix E Model Certified.
To fill out the form, you must provide the necessary information requested and sign the certification confirming compliance.
The purpose of Appendix E Model Certified is to ensure that individuals or organizations are compliant with specific regulations or requirements.
The form typically requires information related to the regulations or requirements being certified, as well as contact information for the certifying individual or organization.
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