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CALIFORNIA DEPARTMENT OF PUBLIC HEALTH OFFICE OF HEALTH EQUITY (THE) ADVISORY COMMITTEE APPLICATION FORM APPLICANT INFORMATION Last Name:First Name: Title: Company: Address: City:County:Telephone:Fax:Zip Code:Email Address: Representing

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What is representation?

Representation is a formal statement made by an individual or entity to provide information or act on their behalf.

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Individuals or entities who are legally obligated or choose to provide information or act on their own behalf.

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The purpose of representation is to communicate information or intentions to a specific audience or authority.

What information must be reported on representation?

The information reported on representation varies depending on the purpose and requirements set forth by the governing authority.

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