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Example of Form of Authority FORM OF AUTHORITY I, (Full name in capitals) of (Patient Address) Date of Birth: HEREBY AUTHORISE a
Proof of Authority Form Note: This consent will expire upon final determination of the application for exemption.
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Certificate of Authority Form CM 06 Final No Comas 101512 Dotx Cityofboston 2012-2023
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Delegation of authority for signing the pre-procurement checklist and internal
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Delegation of Authority Form
