SCHEDULE 4(Section 16)Authorization of Representative

  • 1 The applicant’s name, the respondent’s name and the file number assigned by the Agency.

  • 2 The name of the person giving the authorization and, if the information has not already been provided to the Agency, the person’s complete address, telephone number and, if applicable, email address and facsimile number.

  • 3 The name of the person’s representative and the representative’s complete address, telephone number and, if applicable, email address and facsimile number.

  • 4 A statement, signed and dated by the representative, indicating that the representative has agreed to act on behalf of the person.

  • 5 A statement, signed and dated by the person giving the authorization, indicating that they authorize the representative to act on their behalf for the purposes of the dispute proceeding.

  • 6 The name of each party to which a copy of the authorization is being sent and the complete address, the email address or the facsimile number to which it is being sent.

 
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