Form 778 Authorized Representative (Ar) Declaration - New Hampshire

Form 778 Authorized Representative (Ar) Declaration - New Hampshire

What Is DFA Form 778?

This is a legal form that was released by the New Hampshire Department of Health and Human Services - Division of Family Assistance - a government authority operating within New Hampshire. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DFA Form 778?A: DFA Form 778 is the Authorized Representative (AR) Declaration form.

Q: What is the purpose of DFA Form 778?A: The purpose of DFA Form 778 is to designate an Authorized Representative (AR) for a specific individual or organization.

Q: What is an Authorized Representative (AR)?A: An Authorized Representative (AR) is someone who has been given legal authority to act on behalf of an individual or organization.

Q: Who needs to fill out DFA Form 778?A: DFA Form 778 needs to be filled out by the person or organization designating an Authorized Representative (AR).

Q: What information is required on DFA Form 778?A: DFA Form 778 requires the name, address, and contact information of the Authorized Representative (AR), as well as the name and signature of the person or organization designating the AR.

Q: Is DFA Form 778 specific to New Hampshire?A: Yes, DFA Form 778 is specific to New Hampshire.

Q: Can an individual have more than one Authorized Representative (AR)?A: Yes, an individual can have more than one Authorized Representative (AR), but each AR must be designated separately on a separate DFA Form 778.

Q: Can an Authorized Representative (AR) act on behalf of multiple individuals or organizations?A: Yes, an Authorized Representative (AR) can act on behalf of multiple individuals or organizations, as long as they have been designated as the AR for each one separately on a separate DFA Form 778.

Q: Is DFA Form 778 legally binding?A: Yes, DFA Form 778 is a legally binding document once it has been filled out and signed by the appropriate parties.

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Form Details:

  • Released on May 1, 2017;
  • The latest edition provided by the New Hampshire Department of Health and Human Services - Division of Family Assistance;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of DFA Form 778 by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services - Division of Family Assistance.

Download Form 778 Authorized Representative (Ar) Declaration - New Hampshire

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