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REQUEST FOR PROXY ACCESS TO MYVIRGINIAMASON PATIENT PORTAL (1 OF 2) * required fields×PATIENT (last name) ___*(first name) ___*(date of birth) ___*(middle initial) ___(medical record number, if known)
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How to fill out request for proxy access

01
To fill out a request for proxy access, follow these steps:
02
Begin by gathering all the necessary information and documents that will be required to support your request.
03
Visit the website or contact the organization from which you are seeking proxy access to obtain the specific request form.
04
Fill out the form accurately and completely. Provide all the requested details, such as your personal information and the reason for requesting proxy access.
05
Make sure to include any supporting documents or evidence that may strengthen your request.
06
Double-check the form for any errors or missing information before submitting it.
07
Submit the completed request form through the designated method given by the organization. This may include mailing it, submitting it through their online portal, or delivering it in person.
08
Keep a copy of the submitted request form for your records.
09
Wait for a response from the organization. They will review your request and inform you of their decision regarding granting proxy access.

Who needs request for proxy access?

01
A request for proxy access is typically needed by individuals who are unable to physically attend a meeting or participate in a specific event or action, but still wish to have representation or a voice in the proceedings.
02
This may include individuals who are ill, elderly, disabled, or otherwise unable to physically be present. Proxy access allows them to appoint someone else to act on their behalf and make decisions or vote in their place.
03
Additionally, shareholders of a company may need to request proxy access if they are unable to attend a shareholder meeting but still want their vote to be counted.
04
Overall, anyone who wants to have their interests or views represented in a situation where they cannot personally be present may need to request proxy access.
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Proxy access allows shareholders to submit proposals for inclusion in a company's proxy materials.
Shareholders who meet certain ownership requirements are typically required to file a request for proxy access.
Shareholders can typically fill out a request for proxy access by following the guidelines provided by the company.
The purpose of a request for proxy access is to allow shareholders to have a voice in the company's decision-making process.
A request for proxy access typically includes information about the shareholder's ownership stake and the proposal they would like to submit.
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