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Member s Signature Date Witness Title Date This form requires a notary if not witnessed in the presence of a Board Member or Pension Fund staff. Notary Public My Commission expires Sworn to and subscribed before me this day of 20. AUTHORIZED CONTACT FORM Rev. 12/21/2011 MEMBER NAME SOCIAL SECURITY BIRTH DATE The undersigned do hereby choose not to designate an authorized contact to discuss any matters that may arise concerning my pension benefits with the Chattanooga Fire and Police Pension...
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How to fill out authorized contact form

How to fill out authorized contact form
01
Start by downloading the authorized contact form from the designated website.
02
Fill out your personal information such as your name, address, and contact details.
03
Provide the necessary details of the person or entity you are authorizing as a contact.
04
Clearly specify the purpose or reason for authorizing this contact.
05
Check and review the information filled on the form to ensure accuracy.
06
Sign and date the form to make it legally valid.
07
Submit the completed authorized contact form through the appropriate channels, as specified by the organization or institution.
Who needs authorized contact form?
01
Individuals who want to designate specific people or entities to act as their official contacts.
02
Organizations or institutions that require authorized contacts for various purposes.
03
Situations where a person needs to grant permission for another party to represent them or interact on their behalf.
04
Families who want to authorize someone to make decisions or handle matters on their behalf.
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What is authorized contact form?
Authorized contact form is a document used to designate individuals or entities who are allowed to act on behalf of a specific person or organization in certain situations.
Who is required to file authorized contact form?
Any person or organization who wants to designate authorized contacts or representatives is required to file an authorized contact form.
How to fill out authorized contact form?
To fill out an authorized contact form, you need to provide the necessary information about the designated contacts or representatives, including their names, contact information, and relationship to the person or organization.
What is the purpose of authorized contact form?
The purpose of an authorized contact form is to ensure that only designated individuals or entities are allowed to act on behalf of a specific person or organization in certain situations, such as communicating with government agencies or handling legal matters.
What information must be reported on authorized contact form?
The authorized contact form must include the names, contact information, and relationship to the person or organization of the designated contacts or representatives.
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