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Get CA PERB 920 2014

Ve the person whose name and address appear below, and authorize such representative to appear on my behalf in this proceeding. This designation shall remain valid until I file a written revocation of it with the Public Employment Relations Board. (Signature) (Name of Representative) (Printed Name) (Title) (Title) (Organization (Date) (Mailing Address) Consent to Electronic Service and Notice of Electronic Service Address:1 (City) ☐ I consent to electronic service of notices and doc.

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