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U.S. Department of LaborEmployment and Training Administration OMB No. 12050342 Expires: 3/31/2016Petition for Trade Adjustment Assistance (TAA) and Alternative Trade Adjustment Assistance (AAA)About
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The authorized representative must complete and sign the necessary paperwork on behalf of the individual or organization.
Any individual or organization who is appointed as an authorized representative by the individual or organization.
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The purpose is to legally designate someone to act on behalf of the individual or organization in certain matters.
The authorized representative must report their full name, contact information, relationship to the individual or organization, and any other relevant details.
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