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Complete this section only if someone other than the covered. You may represent yourself, or you may ask another person, including your. Web if the person signing this form is not the customer, explain who they are in relation to the customer (such as a parent or legal. Use when you want someone other than yourself to stand for you in all. Web appointment of authorized representative form. Web you can name a relative, friend, attorney, doctor, or someone else to act for you with an appointment of. Web appointment of authorized representative. Web form approved omb no. Web appointment of representative forms*. English [pdf] appointment of representative form (fillable version): Web a personal representative may either be legally appointed, or designated by a customer to act on his or her behalf: Web appointment of representative form: