Get Appointment Of A Designated Representative Cf-es 2505 072013.pdf

Filling out the Appointment Of A Designated Representative CF-ES 2505 072013 form online can be a straightforward process with the right guidance. This guide will provide you with clear, step-by-step instructions to ensure you complete the form correctly and efficiently.

Follow the steps to successfully complete your form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by entering your case number in the designated field. This information is crucial for linking your application to the appropriate records.
3. In the section titled 'Customer’s Name', type the full name of the individual who is appointing the representative. This confirms their intention for someone to act on their behalf.
4. In the space provided, write the name of the chosen representative who will act on behalf of the customer for determining eligibility for public assistance.
5. The customer must then provide their signature in the 'Signature of Customer' section along with the date of signing. This authorizes the representative to act on their behalf.
6. In the 'Completed by Representative' section, the representative needs to understand their responsibilities. They should read the instructions carefully and provide their signature and the date to confirm their acceptance of the role.
7. Next, the representative should fill in their relationship to the customer and provide their contact information, including street address, city, state, and phone number.
8. If the representative is acting on behalf of someone who is unable to do so themselves, they should indicate this in the 'Self-Appointment by Representative' section. Signature and contact details are also required here.
9. Review all the information entered to ensure accuracy. After confirming that all sections are correctly filled, you can choose to save changes, download, print, or share the completed form as needed.

Start filling out your Appointment Of A Designated Representative CF-ES 2505 072013 form online today to ensure a smooth process!