Get Attachment C Georgia Department Of Human Services Division - Dfcs Dhs Georgia

Filling out the ATTACHMENT C form can seem challenging, but this guide provides clear, step-by-step instructions to help you complete each section effectively. This form is essential for enabling an authorized representative to assist you in your application process.

Follow the steps to complete the form with ease.

1. Press the ‘Get Form’ button to access the form and open it in the editing interface.
2. Begin by entering the name of your authorized representative. Fill in the first name, middle name, and last name clearly.
3. Provide the address of the authorized representative. Include the apartment or suite number if applicable.
4. Next, enter the city, state, and ZIP code of the authorized representative’s address.
5. Include the phone number of the authorized representative, ensuring to format it correctly.
6. If applicable, write down the organization name that the authorized representative is associated with.
7. In the case an ID number is applicable, fill this in to ensure proper identification.
8. As the applicant, sign your name in the signature section, affirming the authorization of the representative.
9. Record the date on which you signed the application, using the mm/dd/yyyy format.
10. If you are completing the form as a certified application counselor, navigator, agent, or broker, fill out the required fields in the designated section.
11. Once you have filled in all necessary fields, review your entries for accuracy and completeness.
12. After ensuring everything is correct, save your changes. You can then download, print, or share the completed form as needed.

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