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Get Contractor's Authorized Agent, Signature Form - Palm Beach County

Print Form OPTIONAL FORM AUTHORIZED AGENT SIGNATURE FORM FORM MAY BE SCANNED E-MAILED with BOTH ID S TO pzbccert pbcgov.org REQUIRED A clear legible copy of BOTH the Qualifier and Registered Agents Driver s License or Government issued Photo I. The authority of the person appointed as my agent to exercise the powers granted herein shall commence on the date set below and shall remain in full force and effect until the license expiration or writte.

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