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Get Third Party Authorization Declaration
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How to fill out the Third Party Authorization Declaration online
The Third Party Authorization Declaration is an essential document for California residents wishing to authorize a third party to access or delete their personal information. This guide provides step-by-step instructions to help you complete the form accurately and efficiently.
Follow the steps to complete the Third Party Authorization Declaration.
- Click the ‘Get Form’ button to obtain the form and open it in the editor.
- Fill in your name and address in Lines 1 to 3. This information pertains to the person whose personal information is subject to the request.
- In Lines 4 and 5, indicate your status as a current or former member by checking the appropriate box. If applicable, enter your Membership Number, which can be found on the back of your Membership Card or Anywhere Visa® Card.
- Fill in your email address in Line 6. This email address will be used for communications regarding your request.
- Provide the name of the authorized third party in Line 7. This person will be making the request on your behalf.
- Enter the email address of the authorized third party in Line 8. Ensure this address is correct for communication regarding the request.
- If you have been given a Case Number, it should be entered in Line 9. You may have received this from an email or by contacting customer service.
- Select which email address you wish for the report to be sent to; either your email address from Line 6 or the authorized third party’s email from Line 8. Remember that you may only select one address.
- Sign the Declaration in front of a notary. The notary will require evidence of your identity to complete the attached Notary Acknowledgment.
- Once notarized, scan the completed document, including both the Declaration and Notary Acknowledgment, and upload it according to the instructions you received with this form.
- If the signed and notarized document is not received, your request may not be completed.
Complete your forms online today to ensure your third-party authorization is processed smoothly.
'Third party authorized' means that someone has granted permission for another party to act on their behalf. This could involve accessing confidential information, making payments, or handling specific transactions. Such authorization often requires a formal Third Party Authorization Declaration to affirm the relationship and responsibilities involved.