Instructions for Completing the Form: 1. Complete the License Holder Identification Information Section. 2.A valid electronic signature may be used to sign MHCP applications, renewals, and other eligibility forms that require a signature. Request for E-Signature Authorization. Authorizes the use of electronic delivery and signature for agreements made with the City of Rochester, MN. 336.3-402 SIGNATURE BY REPRESENTATIVE. By typing my name in the signature field, I understand that I am electronically signing this form. To grant authority for an individual or sole proprietor, complete Form REV184i, Individual or Sole Proprietor Power of Attorney. Additional. Signature.