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Get and Sign Edd Power of Attorney 2019-2022 Form
Code:
Business Fax Number:
Business Location (if different from above):
City:
II. REPRESENTATIVE DESIGNATION (please type or print)
I hereby appoint the following person to represent the employer/taxpayer for specified tax matters arising under
the California Unemployment Insurance Code.
Representative’s Business:
Representative’s Name:
Phone Number:
Business Mailing Address:
III.
Fax Number:
City:
State:
ZIP Code:
AUTHORIZED ACT(S)
GENERAL AUTHORIZATION: If you want to give the...
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