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IPA Locate Member Name Address Line 1 Address Line 2 City, ST Disappointment of Representative (AOR) Dismissal Members Name: Member Remember ID Number: Member Health Plan Name: IEP DualChoice (HMO

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Gather all necessary information and documents related to the representation

02

Fill out the appointment of representation form completely and accurately

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Submit the form to the appropriate person or organization

Who needs appointment of representation aor?

01

Individuals who want to appoint someone else to legally represent them in a specific matter

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What is appointment of representation aor?

Appointment of representation aor is a legal document that appoints someone to represent another individual or entity in a legal matter.

Who is required to file appointment of representation aor?

The individual or entity who wants representation in a legal matter is required to file appointment of representation aor.

How to fill out appointment of representation aor?

To fill out appointment of representation aor, one must provide the necessary information about the appointee and the legal matter they are representing.

What is the purpose of appointment of representation aor?

The purpose of appointment of representation aor is to officially appoint someone to act on behalf of another party in a legal matter.

What information must be reported on appointment of representation aor?

The appointment of representation aor must include information about the appointee, the appointor, the legal matter, and the scope of representation.

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