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Appointment of Appeal Representative and Authorization to Disclose Information

Use this form to select a representative for the Appeals process only.

You must have the following information to complete the form properly:

  • Your name, signature, and date
  • The name of the person you are authorizing for the appeals process
  • Your sponsor number (the Social Security Number of the family member who served)

 

Appointment_of_Appeal_Representative.pdf | 86 KB

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