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Authorized RepresentativeDESIGNATION / REMOVAL Use this form to designate/remove an individual or entity to act on your behalf as your authorized representative to pursue a benefit claim or appeal
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Chapter 2-0400 representative services refer to the section in the regulatory framework that governs the appointment of representatives to act on behalf of entities or individuals in specific matters.
Entities or individuals who need to appoint representatives to act on their behalf in certain matters are required to file chapter 2-0400 representative services.
To fill out chapter 2-0400 representative services, you need to provide information about the representative being appointed, the scope of their authority, and the specific matters they are authorized to act upon.
The purpose of chapter 2-0400 representative services is to ensure that entities or individuals have proper representation in specific matters where they are unable to act themselves.
The information that must be reported on chapter 2-0400 representative services includes the name and contact information of the representative, the scope of their authority, and the specific matters they are authorized to act upon.
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