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Form DHS1121A Agreement to Act as an Authorized Representative - Hawaii
What Is Form DHS1121A?
This is a legal form that was released by the Hawaii Department of Human Services - a government authority operating within Hawaii. Check the official instructions before completing and submitting the form.
FAQ
Q: What is DHS1121A Agreement to Act as an Authorized Representative?
A: DHS1121A Agreement to Act as an Authorized Representative is a form used in Hawaii for individuals to appoint someone as their authorized representative to act on their behalf in matters related to the Hawaii Department of Human Services.
Q: Who can use the DHS1121A Agreement to Act as an Authorized Representative form?
A: Any individual in Hawaii who wants someone else to act on their behalf in dealings with the Hawaii Department of Human Services can use the DHS1121A Agreement to Act as an Authorized Representative form.
Q: What are the requirements for using the DHS1121A Agreement to Act as an Authorized Representative form?
A: To use the DHS1121A Agreement to Act as an Authorized Representative form, the individual must fill out the form accurately and completely, sign it, and provide any required supporting documentation.
Q: What should I do with the completed DHS1121A Agreement to Act as an Authorized Representative form?
A: The completed DHS1121A Agreement to Act as an Authorized Representative form should be submitted to the Hawaii Department of Human Services, either by mail, fax, or in person at a local office.
Form Details:
- Released on October 1, 2018;
- The latest edition provided by the Hawaii Department of Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form DHS1121A by clicking the link below or browse more documents and templates provided by the Hawaii Department of Human Services.
Download Form DHS1121A Agreement to Act as an Authorized Representative - Hawaii
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