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Department of Workforce Development State of Wisconsin Division of Vocational Rehabilitation CHOOSING A REPRESENTATIVE Personal information you provide may be used for secondary purposes [Privacy
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How to fill out dvr-17167-e choosing a representative

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Begin by identifying a trustworthy and competent individual who can act as your representative.
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Provide accurate and complete information about the representative you have chosen in the designated sections of the form.
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DVR-17167-E is a form used to designate a representative for individuals or entities in various proceedings, allowing the appointed representative to act on behalf of the filer.
Individuals or entities seeking to have a representative handle matters related to their filings or proceedings are required to file the DVR-17167-E form.
To fill out DVR-17167-E, complete the personal details of the filer, provide the representative's information, and include any necessary authorizations. Ensure all sections are filled accurately.
The purpose of DVR-17167-E is to provide a legal means for individuals or entities to authorize someone else to act on their behalf in specific proceedings.
The form requires the names and contact information of both the filer and the representative, as well as details about the authority being granted.
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