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Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number. PTO Form 2196 (Rev 09/2005) OMB No. 06510056
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How to fill out revocation appointment andor change

01
To fill out a revocation appointment and/or change form, follow these steps:
02
Start by obtaining the correct form. You can usually find this form on the website of the organization or agency that handles revocations.
03
Read the instructions carefully to understand the requirements and gather all the necessary documents and information needed to complete the form.
04
Fill in your personal information, including your name, contact information, and any identification numbers or codes provided by the organization or agency.
05
Clearly state the nature of the revocation or change you are requesting. Provide details about the previous appointment or information you want to revoke or change.
06
Attach any supporting documents or evidence necessary to support your request. This may include legal documents, identification proofs, or other relevant paperwork.
07
Review the completed form to ensure all information is accurate and complete. Make any necessary corrections before submitting the form.
08
Submit the filled-out form by following the specified submission process. This may involve mailing it to an address, submitting it online, or delivering it in person.
09
Keep a copy of the completed form and any supporting documents for your records.
10
Remember to follow any specific instructions provided by the organization or agency regarding the submission or processing of the form.

Who needs revocation appointment andor change?

01
Revocation appointments and/or changes may be needed by individuals or organizations who:
02
- Have appointed someone as a representative but now wish to revoke that appointment.
03
- Need to update or change the information related to a previously appointed representative.
04
- Are required by a specific organization or agency to fill out such a form for certain purposes.
05
- Want to revoke or change any previously given authority, permissions, or access rights granted to a representative.
06
It is important to consult the specific guidelines provided by the organization or agency to determine if a revocation appointment and/or change form is necessary in your particular case.
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