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Authorized Representative Appointment or Removal Form
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People also ask
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What is the aor form?
Appointment of Representative Form Instructions. You may appoint a relative, friend, advocate, attorney, or your physician to act as your representative. A representative who is appointed by the court or who is active in ance with State law may also file an appeal or grievance for you.
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What is an authorized representative for?
Someone who you choose to act on your behalf with the Marketplace, like a family member or other trusted person. Some authorized representatives may have legal authority to act on your behalf.
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What is a representational appointment?
By signing this form and appointing this representative, you agree that the representative will be the main contact and have authority to make requests, present evidence, get information, and receive all communication about your action. This person may see your personal medical information.
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What is a legally authorized representative in Wisconsin?
In Wisconsin, “Legally Authorized Representative” (LAR) means: (1) the individual's health care agent designated in a valid and activated power of attorney for health care (“Health Care Agent”); OR (2) the individual's legally-appointed guardian of the person (“Guardian”); OR (3) the individual's surrogate decision ...
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