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FORM C Page 1 of 2 DELAWARE HEALTH AND SOCIAL SERVICES REQUEST FOR PROPOSALCERTIFICATION Sheets the official representative for the applicant, I certify on behalf of the agency that:1. They are a
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AS form official representative is a form that designates an individual or entity as the official representative of a company or organization.
Any designated individual or entity who will serve as the official representative of a company or organization is required to file AS form.
To fill out AS form official representative, the designated individual or entity must provide their personal or company information, along with any supporting documentation that may be required.
The purpose of AS form official representative is to legally designate an individual or entity as the official representative of a company or organization.
The AS form official representative must include personal or company information of the designated official representative, as well as any relevant supporting documentation.
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