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State of California Department of Fish and WildlifeSAVEPRINTCLEAREMAILPREDESIGNATION OF PERSONAL PHYSICIAN DFW 544 (REV. 05×24/16×In the event you sustain an injury or illness related to your employment,

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Obtain a copy of the pre-designation formdoc from the relevant authority.

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Read the instructions carefully to understand the purpose and requirements of the formdoc.

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Fill in your personal information such as name, address, contact details, and any other required information.

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Provide details of the designee, including their name, contact information, and their relationship to you.

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Clearly state the reasons for your designation and any specific responsibilities or authorities you wish to grant to the designee.

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What is pre designation formdoc?

Pre designation formdoc is a form used to designate someone to act on your behalf before a specific event or situation occurs.

Who is required to file pre designation formdoc?

Anyone who wants to designate someone to act on their behalf before a specific event or situation occurs is required to file pre designation formdoc.

How to fill out pre designation formdoc?

Pre designation formdoc can be filled out by providing the necessary information about the person being designated and the specific event or situation.

What is the purpose of pre designation formdoc?

The purpose of pre designation formdoc is to legally designate someone to act on your behalf before a specific event or situation occurs.

What information must be reported on pre designation formdoc?

Pre designation formdoc must include information about the person being designated, the specific event or situation, and any relevant details.

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