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Acumen Authorized Representative Agreement Form General understanding and conditions of the self-directed portion of the North Dakota Autism Spectrum Disorder Waiver Program. The Agreement is between
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How to fill out nd asd authorized representative:
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02
Fill in your personal information, including your full name, address, and contact details.
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Provide the necessary details of the individual or organization you are representing, such as their name, address, and contact information.
04
Clearly state the authorization granted by the represented individual or organization, including the specific actions or decisions you are authorized to make on their behalf.
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Who needs nd asd authorized representative:
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Note: The specific requirements for who needs an nd asd authorized representative may vary depending on the specific context or jurisdiction. It is advisable to consult relevant laws, regulations, or guidelines to determine the requirements in your specific situation.
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