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Get HI DHS 1121 Instructions 2015-2024
Authorized / personal representative. The Authorized Representative will have the legal authority to assist / represent the individual with any and all matters relating to the individual s application with the Department. GENERAL INSTRUCTIONS: 1. The completion of the DHS 1121 is self-explanatory. All sections of the form DHS 1121 shall be completed. Any changes made to the form will invalidate the form. 2. The designation of the authorized representative may be revoked at any time requesting.
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