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Department of Health and Human Services Centers for Medicare & Medicaid ServicesForm Approved OMB No.09380950Appointment of Representativeness of Party Medicare Number (beneficiary as party) or National

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Start by writing the full legal name of the party involved.

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Include any additional information that may be necessary to clearly identify the party, such as a business name or nickname.

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What is name of party?

The name of party is the official name of the political party.

Who is required to file name of party?

Political parties are required to file the name of party.

How to fill out name of party?

The name of party can be filled out on the required forms provided by the relevant authority.

What is the purpose of name of party?

The purpose of the name of party is to identify the political party and distinguish it from others.

What information must be reported on name of party?

The name of party, including any variations or abbreviations, must be reported.

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