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DEPARTMENT OF HUMAN SERVICES SENIORS & PEOPLE WITH DISABILITIES 500 Summer Street NE E02 Salem, Oregon 973011073 Phone: (503) 9455811 AUTHORIZED BY: SPD Assistant Director/ Deputy Assistant Director TO:Area
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Write the full legal name of the person who is authorizing someone else.
02
Include the date when the authorization is being given.
03
Provide the specific details of the authorization, such as the reason for it or the actions being authorized.
04
The document should be signed by the person giving the authorization.

Who needs authorized by?

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Anyone who wants to grant someone else the authority to act on their behalf may need to fill out authorized by. This could include individuals who are unable to perform certain tasks themselves or need someone else to represent them in a legal or official capacity.
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Authorized by refers to who has been given permission or approval to carry out a specific action or task.
The individual or entity who has been authorized to take a particular action or make a decision is required to file authorized by.
Authorized by can be filled out by indicating the name or position of the person granting authorization.
The purpose of authorized by is to ensure that actions or decisions are being made by someone who has the necessary approval or permission.
The information reported on authorized by typically includes the name or title of the person granting authorization.
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