Get Dpa 19

The Dpa 19 form serves as an essential document for individuals seeking to appoint a representative during the appeal process for assistance programs in California. This guide provides a clear and structured approach to help users fill out the form accurately and efficiently.

Follow the steps to fill out the Dpa 19 form effectively.

1. Click ‘Get Form’ button to obtain the Dpa 19 form and open it in the online editor.
2. Begin by entering your name in the designated section. Ensure that your full legal name is included.
3. Next, provide your complete address, including the city, state, and zip code. This information is crucial for identifying your location.
4. In the next section, enter the name of the person or organization you are appointing to act on your behalf. Accuracy here is essential for proper authorization.
5. Fill in the address details for the appointed representative, including city and zip code. This ensures that the authorized representative can be contacted as needed.
6. Specify the assistance program related to your appeal. Make sure to select the correct program to avoid any confusion.
7. Provide your signature to authorize the chosen representative. This signature verifies your intent and consent.
8. After thoroughly reviewing the form for any errors, you can save your changes and choose to download, print, or share the Dpa 19 form as necessary.

Complete your Dpa 19 form online today to ensure your representation in the appeals process.