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AUTHORIZED REPRESENTATIVE FORM I, , PRINT Name of Respondent/Officer/Employee of , PRINT Name of Respondent Company TLC License/Medallion/Base Number authorize or designated PRINT Representative s.

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Keywords relevant to representation form

  • authorized agent
  • respondent
  • adjudication
  • ADJOURNMENT
  • revoke
  • vacate
  • revoked
  • Revised
  • Medallion
  • hearings
  • summons
  • Motions
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