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Get Dfa 778

Ave read and understand the information on this form. I agree to accept the duties noted on this form and understand the following: I understand that I must give proof of my identity to act as an Authorized Representative. I understand that if I have been disqualified for a program violation, I cannot act as an Authorized Representative unless there is no one else suitable to represent this individual. I understand that the Department has the authority to discontinue my abilit.

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ELIGIBILITY rating
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26 votes

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