Appointment of agent michigan

    • [DOC File]Michigan Court Services, Inc

      https://info.5y1.org/appointment-of-agent-michigan_1_96a8ba.html

      YOU MUST CALL TO SCHEDULE AN APPOINTMENT WITHIN 24 HOURS OF RECEIVING THIS REFERRAL. DISCLOSURE AUTHORIZATION. I hereby authorize Michigan Court Services, Inc. to release information contained in my file to the court/agency indicated above. I understand the cost of the program/services will be paid by me at the time services are provided.

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    • [DOCX File]Michigan Durable Financial Power of Attorney

      https://info.5y1.org/appointment-of-agent-michigan_1_401712.html

      MICHIGAN DURABLE POWER OF ATTORNEY (FINANCIAL ONLY) I, _____ [Principal’s Name], am of sound mind, and I voluntarily make this designation. I revoke any financial powers of attorney I have signed in the past. APPOINTMENT OF AGENT

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    • [DOC File]Certificate of Need Instructions for - Michigan

      https://info.5y1.org/appointment-of-agent-michigan_1_da8939.html

      This appointment will remain in effect for this application until written notice of termination is sent to the Michigan Department of Health & Human Services that references the specific CON application number. The termination notice must identify a new authorized agent. Typed Name. Signature of Individual Legally Authorized to Appoint Agent ...

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    • [DOC File]DURABLE POWER OF ATTORNEY FOR HEALTH CARE

      https://info.5y1.org/appointment-of-agent-michigan_1_4e28af.html

      1. Appointment of patient advocate(s), authorized representative, and personal representative. I, _____, a Michigan resident, appoint _____, [address and telephone], as my agent, authorized representative, and personal representative, hereinafter referred to as my patient advocate. I appoint the following person(s), in the order listed, as my successor patient advocate if my patient advocate ...

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    • [DOCX File]License & Appointment Requirements for Admitted

      https://info.5y1.org/appointment-of-agent-michigan_1_7ef7e1.html

      * Arizona, Indiana, Louisiana and Virginia - will issue separate individual licenses for surplus lines, however these states advised that provided the Corporation, Partnership, LLC or LLP is licensed for surplus and the individual holds an admitted license the individual will …

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    • [DOC File]Certificate of Need Instructions for - State of Michigan

      https://info.5y1.org/appointment-of-agent-michigan_1_64fbb2.html

      CERTIFICATE OF APPOINTMENT FOR AUTHORIZED AGENT. Michigan Department of Health & Human Services. Notice is hereby given to the Michigan Department of Health & Human Services that [Legal name of applicant entity (same as Page 1, Line #1)] has appointed and authorized the following person to act on behalf of the applicant entity. Agent Name. Title

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