Form APC-11 Animal Population Control Program Proxy Authorization - New Jersey

Form APC-11 Animal Population Control Program Proxy Authorization - New Jersey

What Is Form APC-11?

This is a legal form that was released by the New Jersey Department of Health - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form APC-11?
A: Form APC-11 is the Animal Population Control Program Proxy Authorization form in New Jersey.

Q: What is the Animal Population Control Program?
A: The Animal Population Control Program is a program in New Jersey that helps provide low-cost spay/neuter services to eligible residents.

Q: What is a proxy authorization?
A: A proxy authorization allows someone else to apply for and receive services on a person's behalf.

Q: Who can use Form APC-11?
A: Form APC-11 can be used by individuals who want to authorize someone else to apply for the Animal Population Control Program on their behalf.

Q: Do I need to pay a fee to submit Form APC-11?
A: No, there is no fee to submit Form APC-11.

Q: What information is required on Form APC-11?
A: Form APC-11 requires information such as the applicant's name, address, contact information, and the name and contact information of the authorized proxy.

Q: How long is the proxy authorization valid for?
A: The proxy authorization is valid for one year from the date it is signed by the applicant.

Q: Can I revoke the proxy authorization?
A: Yes, the applicant can revoke the proxy authorization at any time by submitting a written notice to the program.

Q: Can a proxy apply for the Animal Population Control Program more than once?
A: Yes, a proxy can apply for the Animal Population Control Program multiple times on behalf of the applicant, as long as the authorization is still valid.

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Form Details:

  • Released on August 1, 2012;
  • The latest edition provided by the New Jersey Department of Health;
  • 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 APC-11 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Health.

Download Form APC-11 Animal Population Control Program Proxy Authorization - New Jersey

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