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State of Wisconsin Department of Workforce Development Equal Rights Division Request to Withdraw Complaint Authorization for this form is provided under Section 111.375, Wisconsin Statutes. Completion
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Authorization for this form is required to grant permission for someone else to act on your behalf when filing the form.
The individual or entity who is authorizing someone else to act on their behalf must file the authorization for this form.
To fill out the authorization for this form, you must clearly state the name and contact information of the authorized representative and provide a signature to authorize them to act on your behalf.
The purpose of authorization for this form is to ensure that the authorized representative has permission to act on behalf of the individual or entity filing the form.
The authorization form must include the name, contact information, and signature of the authorized representative, as well as the name of the individual or entity granting authorization.
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