This written authorization is effective the date signed and will remain in effect for a THREE-YEAR period from the date signed below. Owner's Name (Please Print).Please mail your request with a stamped self-addressed envelope to: Bronx County Clerk's Office 851 Grand Concourse, Room 118. Intheblanks form authorizing an individual filing agent to efile documents on behalf of a single attorney. Insert the address of its principal place of business in New York State. If you need a letter of support, please be advised that you must first make a request to present at one of our committee meetings. 478 East Fordham Road, 2nd Fl Bronx, NY 10458 Get Directions Website Monday-Friday am- pm Phone: 718-707-7771 Instructions (4 simple steps): Step 1: Choose from Basic, Plus, or Premier. Step 2: Pay online -or- complete credit card authorization form. Thank you for considering a career at Oak Street Health.

Authorization Letter With Address In Bronx

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