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165 West 46th Street New York, NY 100362582 Phone: (212) 8699380 or (800) 3445220 Fax: (212) 8693323 Website: www.equityleague.orgEquityLeague Health Trust Fund (the Plan) Appointment of Personal

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Authorized rep formdoc is a form used to designate a representative to act on behalf of an individual or entity.

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Any individual or entity seeking to designate a representative to act on their behalf must file authorized rep formdoc.

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Authorized rep formdoc can be filled out by providing the necessary information about the representative and the individual or entity being represented.

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The purpose of authorized rep formdoc is to legally designate a representative to act on behalf of an individual or entity.

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Authorized rep formdoc must include information such as the representative's contact information, the individual or entity being represented, and the scope of representation.

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